Provider Demographics
NPI:1639247208
Name:FEENEY, MAUREEN VIRGINIA (MPA LSW)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:VIRGINIA
Last Name:FEENEY
Suffix:
Gender:F
Credentials:MPA LSW
Other - Prefix:MS
Other - First Name:MAUREEN
Other - Middle Name:VIRGINIA
Other - Last Name:FEENEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MPA LSW
Mailing Address - Street 1:1010 MASSACHUSETTS AVENUE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118
Mailing Address - Country:US
Mailing Address - Phone:617-534-4212
Mailing Address - Fax:617-534-4221
Practice Address - Street 1:723 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2318
Practice Address - Country:US
Practice Address - Phone:617-534-4212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional