Provider Demographics
NPI:1144354986
Name:FEIGENBAUM, TOBIE (LCSW)
Entity type:Individual
Prefix:
First Name:TOBIE
Middle Name:
Last Name:FEIGENBAUM
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 278
Mailing Address - Street 2:17-19 MARKET SQUARE
Mailing Address - City:SOUTH PARIS
Mailing Address - State:ME
Mailing Address - Zip Code:04281-0278
Mailing Address - Country:US
Mailing Address - Phone:207-743-7716
Mailing Address - Fax:
Practice Address - Street 1:19 MARKET SQ
Practice Address - Street 2:
Practice Address - City:SOUTH PARIS
Practice Address - State:ME
Practice Address - Zip Code:04281-1533
Practice Address - Country:US
Practice Address - Phone:207-743-7716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)