Provider Demographics
NPI:1023202322
Name:FELSL, ANNA ADELGUNDE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:ADELGUNDE
Last Name:FELSL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W RENNER RD
Mailing Address - Street 2:APT. 1424
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-1028
Mailing Address - Country:US
Mailing Address - Phone:939-642-3352
Mailing Address - Fax:
Practice Address - Street 1:800 W RENNER RD
Practice Address - Street 2:APT. 1424
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-1028
Practice Address - Country:US
Practice Address - Phone:939-642-3352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2176103TC0700X
TX36065103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical