GILLIAN R FEAKER
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1770287047- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2500 E ENTERPRISE AVE STE B, APPLETON, WI, 549138556
- Phone
- (920) 717-4424
Specialties & Taxonomies
Psychologist, Clinical
Primary License: WI #5314