Individual
FEIGHANNE HATHAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
550 1ST AVE, MSB 136, NEW YORK, NY 10016-6402
(212) 263-5746
Mailing address
5841 S MARYLAND AVE # MC2115, CHICAGO, IL 60637-1443
(773) 702-5163
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942277108
—
IL
Enumeration date
03/07/2006
Last updated
12/13/2018
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