Individual
MS. MARLENE FELDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 RIDGEWOOD AVE, MINNEAPOLIS, MN 55403-3507
(612) 377-1002
Mailing address
212 RIDGEWOOD AVE, MINNEAPOLIS, MN 55403-3507
(612) 377-1002
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP0496
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1G391FE
BLUE CROSS
MN
Enumeration date
02/23/2007
Last updated
07/08/2007
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