Provider Demographics
NPI:1235277385
Name:FEINSTEIN-KELLY, JULIE (CCC-SLP, TSHH)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:FEINSTEIN-KELLY
Suffix:
Gender:F
Credentials:CCC-SLP, TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 DEEPDALE DR
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-5514
Mailing Address - Country:US
Mailing Address - Phone:631-542-2413
Mailing Address - Fax:
Practice Address - Street 1:37 DEEPDALE DR
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-5514
Practice Address - Country:US
Practice Address - Phone:631-542-2413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014646235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist