Provider Demographics
NPI:1689232902
Name:FELDMAN, ALIZA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ALIZA
Middle Name:
Last Name:FELDMAN
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 1:1 CATTANO AVE
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6860
Mailing Address - Country:US
Mailing Address - Phone:973-306-4280
Mailing Address - Fax:973-538-2302
Practice Address - Street 1:1 CATTANO AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6860
Practice Address - Country:US
Practice Address - Phone:973-306-4280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-01
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00597800103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical