Provider Demographics
NPI:1740387331
Name:FELDMAN, JANIE LYNN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JANIE
Middle Name:LYNN
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 1:55 MOUNTAIN BLVD
Mailing Address - Street 2:STE 206
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-2615
Mailing Address - Country:US
Mailing Address - Phone:908-222-1099
Mailing Address - Fax:908-222-9970
Practice Address - Street 1:55 MOUNTAIN BLVD
Practice Address - Street 2:STE 206
Practice Address - City:WARREN
Practice Address - State:NJ
Practice Address - Zip Code:07059-2615
Practice Address - Country:US
Practice Address - Phone:908-222-1099
Practice Address - Fax:908-222-9970
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3481103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist