Provider Demographics
NPI:1134876873
Name:FELDMANN, ANNA LEE (MA CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:LEE
Last Name:FELDMANN
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:MISS
Other - First Name:ANNA
Other - Middle Name:LEE
Other - Last Name:COFFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3070 WAKESHIRE DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-1741
Mailing Address - Country:US
Mailing Address - Phone:419-705-6684
Mailing Address - Fax:
Practice Address - Street 1:3805 EMERALD PKWY
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-3317
Practice Address - Country:US
Practice Address - Phone:614-665-9844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.13442235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist