Individual
MRS. TERESA SUE FELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 MCCOY RD, HUNTINGTON, WV 25701-4937
(304) 824-3033
(304) 824-7947
Mailing address
2001 MCCOY RD, HUNTINGTON, WV 25701-4937
(304) 824-3033
(304) 824-7947
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0155108000
—
WV
Enumeration date
01/30/2008
Last updated
01/30/2008
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