Individual
DR. JUDITH GAYLE FELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
215 E BAY ST, SUITE 403B, CHARLESTON, SC 29401-2633
(843) 822-4660
Mailing address
2950 SEABROOK ISLAND RD, JOHNS ISLAND, SC 29455-6221
(843) 364-4734
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3025
SC
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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