Provider Demographics
NPI:1609981901
Name:FEHER, STEPHEN DK (PHD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:DK
Last Name:FEHER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 CAMINO A LAS ESTRELLAS
Mailing Address - Street 2:
Mailing Address - City:PLACITAS
Mailing Address - State:NM
Mailing Address - Zip Code:87043-8805
Mailing Address - Country:US
Mailing Address - Phone:505-771-2924
Mailing Address - Fax:505-771-2924
Practice Address - Street 1:5800 MCLEOD RD NE
Practice Address - Street 2:STE. E
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-2454
Practice Address - Country:US
Practice Address - Phone:505-263-3590
Practice Address - Fax:505-771-2924
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM398103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMN6820Medicaid