Healthcare Provider Details

I. General information

NPI: 1205744885
Provider Name (Legal Business Name): SARAH MAY FEELEY M.S. CCC/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 SAINT JOHNS PARKSIDE ST
BUFFALO NY
14210-2515
US

IV. Provider business mailing address

10545 BRANT ANGOLA RD
ANGOLA NY
14006-9150
US

V. Phone/Fax

Practice location:
  • Phone: 716-828-7438
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number037001
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: