Doctor Name: | HAYLEY RENEE FEENEY |
NPI Number: | 1316080369 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC SLP |
License Number: | 146008615 |
Business Practice Address: | 2300 N Edward St Decatur, IL - 625264163 |
Business Phone Number: | 2178768121 |
Business Fax Number: | 2178762264 |
Mailing Address: | 2300 N Edward St, DECATUR |
State: | IL |
Postal Code: | 625264163 |
Phone Number: | 2178768121 |
Fax Number: | 2178762264 |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 11/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146008615 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |