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NPI Code Detail

MEDICARE: HALEY FELLER

MEDICARE: HALEY FELLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1578267159
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY FELLER
Provider Business Mailing Address
First Line : 8500 W NORTH AVE
Second Line :
City : WAUWATOSA
State : WI
Zip : 53226-2844
Country : US
Telephone Number : 414-252-5166
Fax Number :
Provider Business Practice Location Address
First Line : 8500 W NORTH AVE
Second Line :
City : WAUWATOSA
State : WI
Zip : 53226-2844
Country : US
Telephone Number : 414-252-5166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2023
Last Update Date : 03/28/2023

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Directions to “ HALEY FELLER ” Practice Location

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