Provider Demographics
NPI:1518730407
Name:FEATHERMAN THERAPY PA
Entity Type:Organization
Organization Name:FEATHERMAN THERAPY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FEATHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-391-9165
Mailing Address - Street 1:18365 NE 30TH CT
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-5220
Mailing Address - Country:US
Mailing Address - Phone:315-391-9165
Mailing Address - Fax:
Practice Address - Street 1:18365 NE 30TH CT
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-5220
Practice Address - Country:US
Practice Address - Phone:315-391-9165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty