Provider Demographics
NPI:1164796108
Name:FEAGIN, MARY P (MT-BC)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:P
Last Name:FEAGIN
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 N HOME AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15202-3034
Mailing Address - Country:US
Mailing Address - Phone:412-761-0905
Mailing Address - Fax:
Practice Address - Street 1:419 N HOME AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15202-3034
Practice Address - Country:US
Practice Address - Phone:412-761-0905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist