Provider Demographics
NPI:1336487040
Name:FEINER-ESCOTO, CORI-ANN (PSYD)
Entity Type:Individual
Prefix:
First Name:CORI-ANN
Middle Name:
Last Name:FEINER-ESCOTO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 STEVENS RD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-1238
Mailing Address - Country:US
Mailing Address - Phone:732-620-0292
Mailing Address - Fax:
Practice Address - Street 1:147 STEVENS RD
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-1238
Practice Address - Country:US
Practice Address - Phone:732-620-0292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-30
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ4351103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical