Provider Demographics
NPI:1326569609
Name:FEELEY-DEMAIO, DECIA ANN (AUD)
Entity Type:Individual
Prefix:
First Name:DECIA
Middle Name:ANN
Last Name:FEELEY-DEMAIO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 NORWAY ST
Mailing Address - Street 2:
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-3143
Mailing Address - Country:US
Mailing Address - Phone:413-567-0374
Mailing Address - Fax:
Practice Address - Street 1:32 NORWAY ST
Practice Address - Street 2:
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-3143
Practice Address - Country:US
Practice Address - Phone:413-567-0374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4694231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist