Provider Demographics
NPI:1548485899
Name:FEENEY, DON JOSEPH JR (PHD)
Entity type:Individual
Prefix:DR
First Name:DON
Middle Name:JOSEPH
Last Name:FEENEY
Suffix:JR
Gender:M
Credentials:PHD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:20146 S PINE HILL RD
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-8372
Mailing Address - Country:US
Mailing Address - Phone:815-469-1541
Mailing Address - Fax:815-806-8065
Practice Address - Street 1:7550 HOHMAN AVE
Practice Address - Street 2:SUITE 1200A
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-1060
Practice Address - Country:US
Practice Address - Phone:815-469-1541
Practice Address - Fax:815-806-8065
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN20041810AOtherCLINICAL PSYCHOLOGIST