Individual
IVY J FELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
94 GLENDALE RD, BOYERTOWN, PA 19512-7696
(267) 265-1278
Mailing address
5125 N SYDENHAM ST, PHILADELPHIA, PA 19141-1615
(267) 265-1278
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCPC9407
ID
101YM0800X
Mental Health Counselor
PC-0011244
DE
101YM0800X
Mental Health Counselor
Primary
PC008040
PA
101YP2500X
Professional Counselor
LCPC9407
ID
101YP2500X
Professional Counselor
PC-0011244
DE
101YP2500X
Professional Counselor
Primary
PC008040
PA
Other
Enumeration date
03/23/2022
Last updated
03/04/2026
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