Provider Demographics
NPI:1700976420
Name:FELDMAN, DEBORAH R (MSW LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:R
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 MARLOWE RD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-1504
Mailing Address - Country:US
Mailing Address - Phone:856-424-3101
Mailing Address - Fax:856-424-3101
Practice Address - Street 1:1101 KINGS HWY N
Practice Address - Street 2:SUITE 203
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-1912
Practice Address - Country:US
Practice Address - Phone:856-482-6993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC00846800101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health