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NPI Code Detail

MEDICARE: JULIE A FEIDER MSE, LPC

MEDICARE: JULIE A FEIDER MSE, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor3681125WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992802888
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE A FEIDER MSE, LPC
Provider Business Mailing Address
First Line : 1095 MIDWAY RD
Second Line :
City : MENASHA
State : WI
Zip : 54952-1115
Country : US
Telephone Number : 920-720-3700
Fax Number : 920-720-3806
Provider Business Practice Location Address
First Line : 1095 MIDWAY RD
Second Line :
City : MENASHA
State : WI
Zip : 54952-1115
Country : US
Telephone Number : 920-720-2300
Fax Number : 920-720-3719
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 05/11/2011

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