Provider Demographics
NPI:1821777442
Name:FEINER, GRACE
Entity Type:Individual
Prefix:
First Name:GRACE
Middle Name:
Last Name:FEINER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 CITY PL APT 505
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-2592
Mailing Address - Country:US
Mailing Address - Phone:516-287-6284
Mailing Address - Fax:
Practice Address - Street 1:4721 TROUSDALE DR STE 206
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37220-1372
Practice Address - Country:US
Practice Address - Phone:615-852-5955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1299103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst