Individual
MRS. LEAH J FEATHERSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2108-63 STREET, KENOSHA, WI 53143-4454
(262) 652-2406
(262) 652-2408
Mailing address
2108-63 STREET, KENOSHA, WI 53143-4454
(262) 652-2406
(262) 652-2408
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3141-57
WI
Other
Enumeration date
08/28/2012
Last updated
05/02/2018
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