Provider Demographics
NPI:1235378969
Name:FEOLA, VICTORIA ANN (MA CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:VICTORIA
Middle Name:ANN
Last Name:FEOLA
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6901 NARROWS AVE
Mailing Address - Street 2:APARTMENT 1E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-1041
Mailing Address - Country:US
Mailing Address - Phone:718-748-2991
Mailing Address - Fax:
Practice Address - Street 1:6901 NARROWS AVE
Practice Address - Street 2:APARTMENT 1E
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-1041
Practice Address - Country:US
Practice Address - Phone:718-748-2991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013325235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist