Provider Demographics
NPI:1336225556
Name:FEINER, ARNOLD L (PHD LMFT)
Entity Type:Individual
Prefix:
First Name:ARNOLD
Middle Name:L
Last Name:FEINER
Suffix:
Gender:M
Credentials:PHD LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 EMBASSY DRIVE SOUTH
Mailing Address - Street 2:SUITE #3
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33026-4573
Mailing Address - Country:US
Mailing Address - Phone:954-436-3800
Mailing Address - Fax:954-436-3700
Practice Address - Street 1:2525 EMBASSY DRIVE SOUTH
Practice Address - Street 2:SUITE #3
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33026-4573
Practice Address - Country:US
Practice Address - Phone:954-436-3800
Practice Address - Fax:954-436-3700
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY2216103TC0700X
FLMT0267106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL72867OtherMEDICARE GROUP
FL75298ZOtherMEDICARE
FL75298OtherBLUE CROSS BLUE SHIELD FL