Provider Demographics
NPI:1255730784
Name:FEYT, OLIVIA (SLP)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:FEYT
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 1:14901 SW 80TH ST APT 117
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-3134
Mailing Address - Country:US
Mailing Address - Phone:786-543-4944
Mailing Address - Fax:
Practice Address - Street 1:14901 SW 80TH ST APT 117
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-3134
Practice Address - Country:US
Practice Address - Phone:786-543-4944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-20
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist