Provider Demographics
NPI:1508878513
Name:FESLER, DANIEL EARL (AUD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:EARL
Last Name:FESLER
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3212 SILVER SADDLE ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-3244
Mailing Address - Country:US
Mailing Address - Phone:702-636-7719
Mailing Address - Fax:
Practice Address - Street 1:3131 LA CANADA ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2578
Practice Address - Country:US
Practice Address - Phone:702-636-3000
Practice Address - Fax:702-636-4054
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVA-168231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist