Provider Demographics
NPI:1174196430
Name:FEELEY, ASHLEY ANN (IBCLC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ANN
Last Name:FEELEY
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 HUDSON DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-5649
Mailing Address - Country:US
Mailing Address - Phone:610-256-2438
Mailing Address - Fax:
Practice Address - Street 1:191 HUDSON DR
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-5649
Practice Address - Country:US
Practice Address - Phone:610-256-2438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
L-303720174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN