Basic Information
| Provider Information | |||||||||
| NPI: | 1447449863 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FELDER | ||||||||
| FirstName: | ANDREW | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | UCLA STUDENT PSYCH SERVICES | ||||||||
| Address2: | JOHN WOODEN CENTER WEST | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900951556 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3108250768 | ||||||||
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| Practice Location | |||||||||
| Address1: | 221 WESTWOOD PLAZA | ||||||||
| Address2: | UCLA STUDENT PSYCHOLOGICAL SERVICES | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 90095 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3108250768 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/22/2007 | ||||||||
| LastUpdateDate: | 10/22/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 0810003819 | VA | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.