Provider Demographics
NPI:1821831090
Name:FEENEY, CONSTANCE JOANNE (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:JOANNE
Last Name:FEENEY
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:CONNIE
Other - Middle Name:JOANNE
Other - Last Name:FEENEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA CCC-SLP
Mailing Address - Street 1:400 HILLVIEW DR APT 405
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5127
Mailing Address - Country:US
Mailing Address - Phone:813-802-8175
Mailing Address - Fax:
Practice Address - Street 1:400 LOCUST ST FL 6
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-1420
Practice Address - Country:US
Practice Address - Phone:412-232-8146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL016901235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist