Organization
FELICIA MUELLER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELICIA ANN MUELLER PSY.D. (PSYCHOLOGIST)
(360) 374-6060
Entity
Organization
Contact information
Practice address
51 N SPARTAN AVE, SUITE B, FORKS, WA 98331-9051
(360) 374-6060
Mailing address
751 J ST, FORKS, WA 98331-9165
(360) 374-6060
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00003795
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11819500
AETNA
WA
01
—
6435MV
REGENCE
WA
01
—
8871134
MEDICARE PTAN
WA
Enumeration date
04/24/2009
Last updated
04/24/2009
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