Individual
PAMELA JO FEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD CCCA
Contact information
Practice address
30 KNOLLWOOD DR, SUITE C, RAPID CITY, SD 57701-0695
(605) 348-7706
(605) 716-2614
Mailing address
PO BOX 8475, RAPID CITY, SD 57709-8475
(605) 348-7706
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
007A
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5834250
—
SD
Enumeration date
10/04/2006
Last updated
07/08/2007
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