Individual
DR. AUDREY L FELDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
440-14 WAVERLY AVENUE, WAVERLY AVENUE CLINIC, PATCHOGUE, NY 11772
(631) 654-2077
(631) 654-8376
Mailing address
440-14 WAVERLY AVENUE, WAVERLY AVENUE CLINIC, PATCHOGUE, NY 11772
(631) 654-2077
(631) 654-8376
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
007558-1
NY
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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