Provider Demographics
NPI:1891096947
Name:FELDMAN, HAROLD (MFLC)
Entity Type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:
Last Name:FELDMAN
Suffix:
Gender:M
Credentials:MFLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 NASH ST
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-2204
Mailing Address - Country:US
Mailing Address - Phone:972-207-8414
Mailing Address - Fax:
Practice Address - Street 1:831 NASH ST
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-2204
Practice Address - Country:US
Practice Address - Phone:972-207-8414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-05
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5195106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX12120736OtherCAQH PROVIDER ID