Individual
MR. BOBBY E FELICIE
Active
Individual
MR. BOBBY E FELICIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MR.FELICIE
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
036483
FL
103TP2701X
Group Psychotherapy Psychologist
Primary
S1901902
VA
2083P0901X
Public Health & General Preventive Medicine Physician
572462C
DC
2278S1500X
SNF/Subacute Care Certified Respiratory Therapist
4005478
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201921906550732320
—
NY
01
—
3057202
WORKERS COMPENSATION BOARD
NY
01
—
4005478
BEHAVIORAL HEALTH MENTAL THERAPY
NY
05
—
NYSOMIG-2019110
—
NY
01
—
S1901902
PSYCHOTHERAPY
VA
Enumeration date
11/29/2018
Last updated
04/12/2021
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