Provider Demographics
NPI:1699054759
Name:FEINSTEIN, KIM RENEA (PSYD)
Entity type:Individual
Prefix:DR
First Name:KIM
Middle Name:RENEA
Last Name:FEINSTEIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16466 N 108TH PL
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-9057
Mailing Address - Country:US
Mailing Address - Phone:480-227-5467
Mailing Address - Fax:
Practice Address - Street 1:9449 N 90TH ST
Practice Address - Street 2:SUITE 210
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5099
Practice Address - Country:US
Practice Address - Phone:480-227-5467
Practice Address - Fax:480-451-8510
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-08
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist