Provider Demographics
NPI:1699068593
Name:FEINGOLD, BETH RACHEL (MS ED)
Entity type:Individual
Prefix:MS
First Name:BETH
Middle Name:RACHEL
Last Name:FEINGOLD
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11066 NW 79TH PL
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-4718
Mailing Address - Country:US
Mailing Address - Phone:954-226-8384
Mailing Address - Fax:
Practice Address - Street 1:11066 NW 79TH PL
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33076-4718
Practice Address - Country:US
Practice Address - Phone:954-226-8384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-25
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist