Provider Demographics
NPI:1538239140
Name:FELSMAN, DEBRA E (PHD)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:E
Last Name:FELSMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3761 CARMAN RD
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12303-5418
Mailing Address - Country:US
Mailing Address - Phone:518-355-5800
Mailing Address - Fax:518-355-5801
Practice Address - Street 1:3761 CARMAN RD
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12303-5418
Practice Address - Country:US
Practice Address - Phone:518-355-5800
Practice Address - Fax:518-355-5801
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012975103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY56640BMedicare ID - Type Unspecified