Provider Demographics
NPI:1528945136
Name:FEULNER, AMY (CPRS)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:FEULNER
Suffix:
Gender:F
Credentials:CPRS
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:HAMLIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CPRS
Mailing Address - Street 1:603 CROOKS AVE # 2
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-2436
Mailing Address - Country:US
Mailing Address - Phone:201-917-0455
Mailing Address - Fax:
Practice Address - Street 1:603 CROOKS AVE # 2
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-2436
Practice Address - Country:US
Practice Address - Phone:201-917-0455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJCPRS50273175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist