Fellin, Mary
Fellin, Mary is an individual health care provider with primary practice located at 33 E Northampton St , Wilkes Barre PA 18701-2406. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fellin, Mary can be contacted via phone (570) 829-3489.Contact Information
Primary practice address
33 E Northampton St
Wilkes Barre PA 18701-2406
Phone: (570) 829-3489
Fax: (570) 829-7781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW012549 | Pennsylvania |
Profile Details
| NPI number | 1780648154 |
|---|---|
| LBN Legal business name | Fellin, Mary |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780648154 | NPPES |
| Pennsylvania | Other | 70381 | GEISINGER HEALTH PLAN |
| Pennsylvania | Other | 2102769 | GEISINGER HEALTH PLAN |
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