Organization Name: | KIMBERLY A. FEENEY, PLLC |
NPI Number: | 1467709071 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIMBERLY ANN FEENEY (OWNER / OPERATOR / PRESIDENT) |
Mailing Address: | 5 Rennie Lane Brownfield |
State: | ME US |
Postal Code: | 040104937 |
Phone Number: | 2076153293 |
Fax Number: | |
NPI Enumeration Date: | 08/14/2012 |
NPI Last Update Date: | 08/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP918 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
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 |