Provider Demographics
NPI:1750437505
Name:FEINBERG, ALEXANDRA Y (MA)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:Y
Last Name:FEINBERG
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 ENGELHART DR
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-1581
Mailing Address - Country:US
Mailing Address - Phone:916-485-2549
Mailing Address - Fax:916-485-9901
Practice Address - Street 1:3033 EL CAMINO AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-6014
Practice Address - Country:US
Practice Address - Phone:916-485-2549
Practice Address - Fax:916-485-9901
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14363235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0143630OtherMEDI-CAL PROVIDER NUMBER