Doctor Name: | DR. FELICIA ANN MUELLER |
NPI Number: | 1154514289 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | PY00003795 |
Business Practice Address: | 51 N Spartan Ave Suite B Forks, WA - 983319051 |
Business Phone Number: | 3603746060 |
Business Fax Number: | 3603746691 |
Mailing Address: | 751 J St, FORKS |
State: | WA |
Postal Code: | 983319165 |
Phone Number: | 3603746060 |
Fax Number: | |
NPI Enumeration Date: | 08/22/2007 |
NPI Last Update Date: | 04/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY00003795 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |