Feathergill, Jeffrey T

Feathergill, Jeffrey T is an sole proprietor health care provider with primary practice located at 211 W Washington St Ste 2311 , South Bend IN 46601-1708. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Feathergill, Jeffrey T can be contacted via phone (574) 282-1090.

Contact Information

Primary practice address
211 W Washington St Ste 2311 South Bend IN 46601-1708
Phone: (574) 282-1090
Fax: (866) 540-3094
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 20041616A Indiana
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 20041616A Indiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20041616A Indiana
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20041616A Indiana

Profile Details

NPI number 1982632329
LBN Legal business name Feathergill, Jeffrey T
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2006
Last updated Jan 23rd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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