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Individual

JEFFREY BRUCE FELDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-9810
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-9810

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1474
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0346M
BCBS
05
1427035575
VA
05
6000426
NC
01
94058
MEDCOST
Enumeration date
12/29/2005
Last updated
11/15/2010
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