Provider Demographics
NPI:1417161696
Name:FEINMAN, SHARON (MA, CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:
Last Name:FEINMAN
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 1:7526 BEAR CLAW RUN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-3293
Mailing Address - Country:US
Mailing Address - Phone:407-810-6458
Mailing Address - Fax:
Practice Address - Street 1:7526 BEAR CLAW RUN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-3293
Practice Address - Country:US
Practice Address - Phone:407-810-6458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA9437235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist