Provider Demographics
NPI:1770717886
Name:FELTY, KASEY ELIZABETH (BS)
Entity type:Individual
Prefix:MRS
First Name:KASEY
Middle Name:ELIZABETH
Last Name:FELTY
Suffix:
Gender:F
Credentials:BS
Other - Prefix:MISS
Other - First Name:KASEY
Other - Middle Name:ELIZABETH
Other - Last Name:LENGLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:200 N 7TH STREET
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17046-5040
Mailing Address - Country:US
Mailing Address - Phone:717-273-1710
Mailing Address - Fax:717-273-1416
Practice Address - Street 1:350 N SIXTH AVENUE
Practice Address - Street 2:
Practice Address - City:LABANON
Practice Address - State:PA
Practice Address - Zip Code:17046-4065
Practice Address - Country:US
Practice Address - Phone:717-274-9686
Practice Address - Fax:717-274-9549
Is Sole Proprietor?:No
Enumeration Date:2009-05-05
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst