Provider Demographics
NPI:1922188630
Name:FELLIN, PAULA S (MS)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:S
Last Name:FELLIN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:PAULA
Other - Middle Name:JEAN
Other - Last Name:SOTIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:6 BUCKINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19605-1098
Mailing Address - Country:US
Mailing Address - Phone:610-926-9490
Mailing Address - Fax:
Practice Address - Street 1:9 BRISTOL CT
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1851
Practice Address - Country:US
Practice Address - Phone:610-670-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000510L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist