Healthcare Provider Details

I. General information

NPI: 1417830605
Provider Name (Legal Business Name): KATIE MAE FEENEY M.S. CCC-SLP, TSSLD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 MAIN ST
CAIRO NY
12413-3118
US

IV. Provider business mailing address

424 MAIN ST
CAIRO NY
12413-3118
US

V. Phone/Fax

Practice location:
  • Phone: 518-622-3231
  • Fax:
Mailing address:
  • Phone: 518-622-3231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number035626
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: