Provider Demographics
NPI:1700055522
Name:FEINSTEIN, JOAN A (PHD, JD)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:A
Last Name:FEINSTEIN
Suffix:
Gender:F
Credentials:PHD, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 ROLLING HILLS DR
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966-2206
Mailing Address - Country:US
Mailing Address - Phone:215-497-0574
Mailing Address - Fax:
Practice Address - Street 1:94 ROLLING HILLS DR
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:18966-2206
Practice Address - Country:US
Practice Address - Phone:215-497-0574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-26
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003410-L103TF0000X
103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAFE412288OtherMEDICAIRE PROVIDER