Individual
DAVID MICHAEL FEAZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
24 CATHEDRAL PL, SUITE 412, ST AUGUSTINE, FL 32084-4473
(904) 824-9975
(904) 824-9943
Mailing address
24 CATHEDRAL PL, SUITE 412, ST AUGUSTINE, FL 32084-4473
(904) 824-9975
(904) 824-9943
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY2187
FL
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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