MR. PAUL WILLIAM FEARDAY BA MHP
NPI 1215089123
Counselor - Mental Health in Mattoon, IL
Active since January 18, 2007
About Mr. Paul William Fearday Ba Mhp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PAUL WILLIAM FEARDAY BA MHP (NPI 1215089123) is an individual mental health provider in Mattoon, Illinois and active in the NPI registry since January 2007.
NPPES Registry Identity
NPI1215089123
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. PAUL WILLIAM FEARDAYCredential: BA MHP
Location Address750 BROADWAY AVE EMattoon, IL 61938-4610
Mailing Address750 Broadway Ave EMattoon, IL 61938-4610 · (217) 238-5700 · Fax (217) 238-5767
Phone(217) 238-5700
Fax(217) 238-5767
Sole ProprietorNo
Enumeration DateJanuary 18, 2007
Last NPPES UpdateNovember 20, 2007
✔ NPI 1215089123 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
750 BROADWAY AVE E, Mattoon, IL 61938
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215089123, enumerated as an "individual" on January 18, 2007.
The provider is located at 750 BROADWAY AVE E MATTOON, IL 61938 and the phone number is (217) 238-5700.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.