Healthcare Provider Details

I. General information

NPI: 1043132178
Provider Name (Legal Business Name): JEREMY ANDREW FEIGER PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3102 E HIGHLAND AVE
PATTON CA
92369-7813
US

IV. Provider business mailing address

PO BOX 7295
REDLANDS CA
92375-0295
US

V. Phone/Fax

Practice location:
  • Phone: 909-742-5144
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number36391
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: