Provider Demographics
NPI:1518191816
Name:FELDMAN, SHIRLEY CHARNEY (SLP)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:CHARNEY
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20540 STRATH HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20886-4057
Mailing Address - Country:US
Mailing Address - Phone:301-977-0288
Mailing Address - Fax:
Practice Address - Street 1:20540 STRATH HAVEN DR
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20886-4057
Practice Address - Country:US
Practice Address - Phone:301-977-0288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02694235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist