Organization
FEATHERGILL & ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY FEATHERGILL PSY.D. (DIRECTOR)
(574) 282-1090
Entity
Organization
Contact information
Practice address
3625 PARK PL W, SUITE 150, MISHAWAKA, IN 46545-3561
(574) 282-1090
(866) 540-3094
Mailing address
3625 PARK PL W, SUITE 150, MISHAWAKA, IN 46545-3561
(574) 282-1090
(866) 504-3094
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
20041616A
IN
103TA0700X
Adult Development & Aging Psychologist
20041616A
IN
103TC0700X
Clinical Psychologist
Primary
20041616A
IN
103TC0700X
Clinical Psychologist
2041616A
IN
Other
Enumeration date
01/23/2012
Last updated
07/06/2016
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