Provider Demographics
NPI:1295082204
Name:FEEHAN, TOVAH (SLP)
Entity type:Individual
Prefix:
First Name:TOVAH
Middle Name:
Last Name:FEEHAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:TOVAH
Other - Middle Name:
Other - Last Name:ROSENBERG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:200 WHITE HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:HADDON HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:08035-1737
Mailing Address - Country:US
Mailing Address - Phone:732-977-5652
Mailing Address - Fax:
Practice Address - Street 1:200 WHITE HORSE PIKE
Practice Address - Street 2:
Practice Address - City:HADDON HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:08035-1737
Practice Address - Country:US
Practice Address - Phone:732-977-5652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-08
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE010001399235Z00000X
PASL010981235Z00000X
NJ41YS00789900235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist