Individual
DR. DAVID LEO FEDDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 W 4TH ST, RM 2250, CINCINNATI, OH 45202-3604
(513) 723-0390
(513) 723-0480
Mailing address
1 W 4TH ST, RM 2250, CINCINNATI, OH 45202-3604
(513) 723-0390
(513) 723-0480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
034451
OH
174400000X
Specialist
04451
OH
2084P0800X
Psychiatry Physician
Primary
01075325A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0368927
—
OH
Enumeration date
08/31/2006
Last updated
05/18/2015
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