Individual
MS. CAROLYN CREELY FELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2171 JERICHO TPKE, SUITE 340, COMMACK, NY 11725-2937
(631) 499-5595
(631) 499-3060
Mailing address
67 BAYVIEW DR, HUNTINGTON, NY 11743-1562
(631) 421-5378
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
008735-1
NY
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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