Doctor Name: | MS. FELICE MASSEY |
NPI Number: | 1013059989 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. |
License Number: | |
Business Practice Address: | 504 Lakeside Drive Southampton, PA - 18966 |
Business Phone Number: | 2153540777 |
Business Fax Number: | 2153540772 |
Mailing Address: | 4552 Belmont Ave, BENSALEM |
State: | PA |
Postal Code: | 190201002 |
Phone Number: | 2157020846 |
Fax Number: | 2153540772 |
NPI Enumeration Date: | 02/13/2007 |
NPI Last Update Date: | 04/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |