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NPI Code Detail

MEDICARE: MARIA FELICIANO MS, PSYCH

MEDICARE:   MARIA  FELICIANO  MS, PSYCH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst
2106S00000XBehavior Technician
3101Y00000XCounselor
4101YM0800XMental Health CounselorPA

General Provider Information

NPI Number : 1679276422
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA FELICIANO MS, PSYCH
Provider Business Mailing Address
First Line : 2979 W. SCHOOL HOUSE LANE SUITE 1005A KENILWORTH
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19144
Country : US
Telephone Number : 571-289-4240
Fax Number :
Provider Business Practice Location Address
First Line : 2979 W. SCHOOL HOUSE LANE SUITE 1005A KENILWORTH
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19144
Country : US
Telephone Number : 571-289-4240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2023
Last Update Date : 05/18/2026

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Directions to “ MARIA FELICIANO MS, PSYCH” Practice Location

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