Provider Demographics
NPI:1548547334
Name:FELDER, KIMBERLY ANN (MS)
Entity type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:ANN
Last Name:FELDER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 N MADISON AVE
Mailing Address - Street 2:SUITE 213
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-1712
Mailing Address - Country:US
Mailing Address - Phone:626-744-2975
Mailing Address - Fax:626-744-9361
Practice Address - Street 1:127 N MADISON AVE
Practice Address - Street 2:SUITE 213
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-1712
Practice Address - Country:US
Practice Address - Phone:626-744-2975
Practice Address - Fax:626-744-9361
Is Sole Proprietor?:No
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker