National Provider Identifier
Jerry Feist, PH.D.
Jerry Feist, PH.D. is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Ithaca, NY and a listed phone number of (607) 277-4131.
Profile Overview
- NPI
- 1629136627
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- December 04, 2006
- Last Updated
- July 08, 2007
Practice Location
- 109 E Seneca St
- Ithaca, NY 14850-4307
Phone: (607) 277-4131
Mailing Address
- 9345 Kingtown Beach RD
- Trumansburg, NY 14886-9235
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1629136627
- Entity Type
- Individual
- Last Name
- Feist
- First Name
- Jerry
- Name Prefix
- Dr.
- Credential
- PH.D.
- Mailing Street Address
- 9345 Kingtown Beach RD
- Mailing City
- Trumansburg
- Mailing State
- NY
- Mailing ZIP Code
- 14886-9235
- Mailing Country
- US
- Mailing Phone
- (607) 277-4131
- Mailing Fax
- (607) 387-3625
- Practice Street Address
- 109 E Seneca St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4307
- Practice Country
- US
- Practice Phone
- (607) 277-4131
- Practice Fax
- (607) 387-3625
- Enumeration Date
- December 04, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)