Provider Demographics
NPI:1275503013
Name:FEAS, ALINA S (PSY D)
Entity Type:Individual
Prefix:DR
First Name:ALINA
Middle Name:S
Last Name:FEAS
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6450 W 21ST CT
Mailing Address - Street 2:SUITE207
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-3946
Mailing Address - Country:US
Mailing Address - Phone:305-826-9293
Mailing Address - Fax:305-826-9224
Practice Address - Street 1:6450 W 21ST CT
Practice Address - Street 2:SUITE207
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-3946
Practice Address - Country:US
Practice Address - Phone:305-826-9293
Practice Address - Fax:305-826-9224
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7073103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL75006Medicare ID - Type UnspecifiedCLINICAL PSYCHOLOGIST