Organization
DAVID M FEAZELL PHD P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M FEAZELL PH.D. (PSYCHOLOGIST)
(904) 824-9975
Entity
Organization
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
103T00000X
Psychologist
Primary
PY2187
FL
Other
Enumeration date
04/23/2007
Last updated
03/05/2008
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