Provider Demographics
NPI:1275613879
Name:FEEHAN, BARBARA BRANT (MS,CCC-A)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:BRANT
Last Name:FEEHAN
Suffix:
Gender:F
Credentials:MS,CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 MORGAN FARMS DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06074-1385
Mailing Address - Country:US
Mailing Address - Phone:860-644-7979
Mailing Address - Fax:860-644-2710
Practice Address - Street 1:22 MORGAN FARMS DR
Practice Address - Street 2:
Practice Address - City:SOUTH WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06074-1385
Practice Address - Country:US
Practice Address - Phone:860-644-7979
Practice Address - Fax:860-644-2710
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000316231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTP3073333OtherOXFORD
CT100316OtherCONNECTICARE
CT2V8450OtherHEALTHNET
CT3967122OtherAETNA
CT0698613OtherCIGNA
CT730000316CT01OtherANTHEM