Provider Demographics
NPI:1336349083
Name:ANTONE F FEO, PHD & ASSOCIATES INC
Entity Type:Organization
Organization Name:ANTONE F FEO, PHD & ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:F
Authorized Official - Last Name:FEO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:440-899-1300
Mailing Address - Street 1:24500 CENTER RIDGE ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5602
Mailing Address - Country:US
Mailing Address - Phone:440-899-1300
Mailing Address - Fax:440-899-0266
Practice Address - Street 1:24500 CENTER RIDGE ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5602
Practice Address - Country:US
Practice Address - Phone:440-899-1300
Practice Address - Fax:440-899-0266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4000103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHAN9268841Medicare PIN