Basic Information
| Provider Information | |||||||||
| NPI: | 1942404256 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FEENEY | ||||||||
| FirstName: | LAURA | ||||||||
| MiddleName: | ELIZABETH | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | AUD FAAA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 915 OLENTANGY RIVER RD | ||||||||
| Address2: | STE 4000 | ||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432123154 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6142615456 | ||||||||
| FaxNumber: | 6142615440 | ||||||||
| Practice Location | |||||||||
| Address1: | 510 E. NORTH BROADWAY | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432144114 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6142615456 | ||||||||
| FaxNumber: | 6142615440 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/12/2007 | ||||||||
| LastUpdateDate: | 12/04/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | A01603 | OH | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.