Provider Demographics
NPI:1841542818
Name:FEIJOO, AILEEM E (MS-SLP)
Entity type:Individual
Prefix:
First Name:AILEEM
Middle Name:E
Last Name:FEIJOO
Suffix:
Gender:F
Credentials:MS-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND SENDEROS DEL RIO 860 CARRETERA 175
Mailing Address - Street 2:APARTAMENTO 1819
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-8255
Mailing Address - Country:US
Mailing Address - Phone:787-533-1223
Mailing Address - Fax:
Practice Address - Street 1:COND SENDEROS DEL RIO 860 CARRETERA 175
Practice Address - Street 2:APARTAMENTO 1819
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-8255
Practice Address - Country:US
Practice Address - Phone:787-533-1223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-15
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4310144235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist