Provider Demographics
NPI:1437671096
Name:FEINSTEIN, AMANDA B (PHD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:B
Last Name:FEINSTEIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 MIDDLEFIELD RD STE 225
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4010
Mailing Address - Country:US
Mailing Address - Phone:650-736-3494
Mailing Address - Fax:
Practice Address - Street 1:321 MIDDLEFIELD RD STE 225
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4010
Practice Address - Country:US
Practice Address - Phone:650-736-3494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28284103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical