Provider Demographics
NPI:1316017668
Name:FELDMAN, DENIS MARC (PHD)
Entity Type:Individual
Prefix:
First Name:DENIS
Middle Name:MARC
Last Name:FELDMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 N ALEXANDER DR
Mailing Address - Street 2:STE. 204
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77520-5324
Mailing Address - Country:US
Mailing Address - Phone:281-427-3257
Mailing Address - Fax:
Practice Address - Street 1:1515 N ALEXANDER DR
Practice Address - Street 2:STE. 204
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-5324
Practice Address - Country:US
Practice Address - Phone:281-427-3257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24136103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical