Doctor Name: | MS. LISA R. FEATHERSTONE |
NPI Number: | 1053501718 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | 3635 |
Business Practice Address: | 601 Nikles Dr Ste 2f Bozeman, MT - 597152588 |
Business Phone Number: | 5419517107 |
Business Fax Number: | |
Mailing Address: | 601 Nikles Dr, Ste 2f BOZEMAN |
State: | MT |
Postal Code: | 597152588 |
Phone Number: | 5419511707 |
Fax Number: | |
NPI Enumeration Date: | 07/30/2007 |
NPI Last Update Date: | 01/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 3635 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |