Individual
GILLIAN R FEAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 E ENTERPRISE AVE STE B, APPLETON, WI 54913-8556
(920) 717-4424
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5314
WI
Other
Enumeration date
03/29/2023
Last updated
02/07/2025
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