Individual
CAROLYN MERRILL FELTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LP
Contact information
Practice address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
(612) 728-5301
Mailing address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
(612) 728-5301
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5108
MN
Other
Enumeration date
01/04/2007
Last updated
03/10/2020
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