Provider Demographics
NPI:1730789389
Name:FEEHAN, WILLAM BERNARD
Entity type:Individual
Prefix:MR
First Name:WILLAM
Middle Name:BERNARD
Last Name:FEEHAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 SUTTON PL S APT 3B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-3109
Mailing Address - Country:US
Mailing Address - Phone:609-202-7898
Mailing Address - Fax:
Practice Address - Street 1:14 SUTTON PL S APT 3B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-3109
Practice Address - Country:US
Practice Address - Phone:609-202-7898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-31
Last Update Date:2020-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health