Individual
FAY FEATHERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
500 BARFIELD DR, HASTINGS, MI 49058-9018
(269) 948-8041
(269) 948-9319
Mailing address
500 BARFIELD DR, HASTINGS, MI 49058-9018
(269) 948-8041
(269) 948-9319
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
6301007550
MI
103TC0700X
Clinical Psychologist
Primary
6301007550
MI
Other
Enumeration date
11/14/2011
Last updated
03/09/2017
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