John Joseph Feeley Jr.
Individual provider Active NPI Speech-Language Pathologist · Indian Head, MD
NPI 1215540737 · NPPES record last updated Aug 25, 2020
Key facts
- NPI
- 1215540737
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 3505 Livingston Rd
Indian Head, MD 20640-3200 - Phone
- (301) 932-6610
- Fax
- (301) 870-3814
- NPI assigned
- Aug 25, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
3505 Livingston Rd
Indian Head, MD 20640-3200
Mailing address
1009 Sigsbee PL NE
Washington, DC 20017-1842
Phone (202) 526-8754
Other providers in Indian Head, MD
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- Krista Nicole Moore Dubois
- Enlighten Therapeutic & Consulting Services, LLC
- Edgar Antonio Escobar
- Sara Faught
- Shokitha Washington Flemmings
- Rebecca I Frank-Hogren
- Derek Joseph Gill
- Asia Goodwin
- Anisa Marie Graham
All providers in Indian Head, MD · Speech-Language Pathologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.