Doctor Name: | MRS. CAROL ELISABETH FELLERS |
NPI Number: | 1134322399 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCCSLP |
License Number: | |
Business Practice Address: | 191 West Burton Mesa Blvd Ste B Lompoc, CA - 93436 |
Business Phone Number: | 8057334542 |
Business Fax Number: | 8057334392 |
Mailing Address: | 824 W Figueroa St, SANTA BARBARA |
State: | CA |
Postal Code: | 931014807 |
Phone Number: | 8055641976 |
Fax Number: | |
NPI Enumeration Date: | 06/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |