Jeffrey T Feathergill in South Bend - Adult Development & Aging
Jeffrey T Feathergill - NPI 1982632329
Jeffrey T Feathergill is a Adult Development & Aging in South Bend, Indiana. Jeffrey T Feathergill practices all healthcare services and medical treatments related to Adult Development & Aging. The NPI Number for Jeffrey T Feathergill is 1982632329. The last update date is 2012-01-23.
Jeffrey T Feathergill's current location address is 211 W Washington St Ste 2311, South Bend, Indiana. You can contact this provider via phone number 5742821090 and fax number 8665403094. The mailing address for Jeffrey T Feathergill is 211 W Washington St Ste 2311, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey T Feathergill |
|---|---|
| Address | 211 W Washington St Ste 2311, South Bend, Indiana |
| Phone Number | 5742821090 |
| Fax Number | 8665403094 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1982632329 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2012-01-23 |
Provider Mailing Address Detail
| Address | 211 W Washington St Ste 2311 |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466011708 |
| Phone Number | 5742821090 |
| Fax Number | 8665403094 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Development & Aging |
|---|---|
| Taxonomy | 103Ta0700X |
| Licence No | 20041616A |
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Definition: A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jeffrey T Feathergill by the Centers for Medicare & Medicaid Services?
The Jeffrey T Feathergill has been assigned the NPI (National Provider Identifier) 1982632329 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jeffrey T Feathergill's facilities are situated?
The facilities of Jeffrey T Feathergill are physically located at the following address: 211 W Washington St Ste 2311, South Bend, IN, 466011708.
What is Jeffrey T Feathergill's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jeffrey T Feathergill's specialized field of practice is Adult Development & Aging, and the corresponding taxonomy code that categorizes this area of specialization is 103Ta0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1982632329 to Jeffrey T Feathergill?
The Centers for Medicare & Medicaid Services assigned the 1982632329 to Jeffrey T Feathergill on 2006-06-28.
As of what date were the details pertaining to Jeffrey T Feathergill last refreshed?
The information related to the Jeffrey T Feathergill, including its address, specialty, and other relevant details, was last updated on 2012-01-23.
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