Provider Demographics
NPI:1215326988
Name:FELIX, DEANNA (MS)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:
Last Name:FELIX
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 DAVIS RD
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:MA
Mailing Address - Zip Code:01749-1902
Mailing Address - Country:US
Mailing Address - Phone:978-212-5559
Mailing Address - Fax:
Practice Address - Street 1:2 DAVIS RD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:MA
Practice Address - Zip Code:01749-1902
Practice Address - Country:US
Practice Address - Phone:978-212-5559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-17
Last Update Date:2015-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral