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Provider Information for 1265718324


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Mr. MICHAEL H. FEER LCSW


Sex: Male

NPI: 1265718324
Last Updated: 2011-11-02
Certification Date:

Details

NameValue
NPI1265718324
Enumeration Date2011-11-02
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 1925 OTAY LAKES RD
SPACE #164
CHULA VISTA, CA 91913-3103
United States

Phone: 619-630-1071 | Fax:
 
Primary Practice Address 765 3RD AVE
SUITE 200
CHULA VISTA, CA 91910-5841
United States

Phone: 619-476-3700 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalCA27562