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Contact Information

JEFFREY T FEATHERGILL, PSY.D.
211 W WASHINGTON ST STE 2311
SOUTH BEND, IN46601-1708
 Phone: 574-282-1090
 Fax: 866-540-3094
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JEFFREY T FEATHERGILL · (Male)

NPI # 1982632329
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 06/28/2006
Last updated 01/23/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 20041616A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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