Individual
JESSICA FELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC/L-SLP
Contact information
Practice address
408 WALNUT ST, ELLIS, KS 67637-2101
(620) 899-1370
Mailing address
408 WALNUT ST, ELLIS, KS 67637-2101
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3312
KS
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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