Individual
SHANA MARISSA FEINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008
(480) 344-2038
Mailing address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
008349
AZ
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
008349
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155502
—
AZ
Enumeration date
04/25/2018
Last updated
02/28/2023
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