Provider Demographics
NPI:1659600229
Name:FEHER, MEREDITH L
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:L
Last Name:FEHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 STUYVESANT OVAL
Mailing Address - Street 2:APT. 8H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-2222
Mailing Address - Country:US
Mailing Address - Phone:314-920-3312
Mailing Address - Fax:
Practice Address - Street 1:14 STUYVESANT OVAL
Practice Address - Street 2:APT. 8H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-2222
Practice Address - Country:US
Practice Address - Phone:314-920-3312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2015-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146012325235Z00000X
MO2009015697235Z00000X
NY021664235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist