Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | 1018 | SC |
N | 101YP2500X | Professional Counselor | 1018 | SC |
NPI | 1164503892 |
---|---|
Provider Name | Dr. William H Felder |
First Address | Myrtle Beach, SC 29577-3722 |
Second Address | Myrtle Beach, SC 29577-3722 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 08/07/2007 |