Individual
DR. DIANE JOHNSON FELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2520 NORTHWINDS PKWY, SUITE 300, ALPHARETTA, GA 30009-2216
(678) 319-3747
(888) 656-5712
Mailing address
10215 OLIVIA VIEW LN, CYPRESS, TX 77433-4797
(281) 451-4327
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
H5122
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
H5122
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122226703
—
TX
05
—
1753408
—
LA
01
—
H5122
TX STATE LICENSE
TX
Enumeration date
01/10/2007
Last updated
02/09/2017
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