Provider Demographics
NPI:1730339755
Name:FELLING, KAREN LEE CASS (MA)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LEE CASS
Last Name:FELLING
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
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Mailing Address - Street 1:7373 147TH ST W
Mailing Address - Street 2:SUITE 192
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-7690
Mailing Address - Country:US
Mailing Address - Phone:952-891-5534
Mailing Address - Fax:952-891-1881
Practice Address - Street 1:7373 147TH ST W
Practice Address - Street 2:SUITE 192
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-7690
Practice Address - Country:US
Practice Address - Phone:952-891-5534
Practice Address - Fax:952-895-1967
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-26
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNLP5058103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist