Individual
PETER STEVEN FELDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.H.
Contact information
Practice address
35 BEDFORD ST STE 17, LEXINGTON, MA 02420-4440
(781) 863-5320
(781) 863-2743
Mailing address
35 BEDFORD ST STE 17, LEXINGTON, MA 02420-4440
(781) 863-5320
(781) 863-2743
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1012
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W01099
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/26/2007
Last updated
07/08/2007
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