Provider Demographics
NPI:1225157969
Name:FEIN, ANAT (MA,LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ANAT
Middle Name:
Last Name:FEIN
Suffix:
Gender:F
Credentials:MA,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21801 STEVENS CREEK BLVD STE 5
Mailing Address - Street 2:10371 MIRA VISTA RD
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-1159
Mailing Address - Country:US
Mailing Address - Phone:408-310-0800
Mailing Address - Fax:
Practice Address - Street 1:21801 STEVENS CREEK BLVD
Practice Address - Street 2:STE5
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-1155
Practice Address - Country:US
Practice Address - Phone:408-310-0800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC47240106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ36408ZMedicare ID - Type Unspecified