Provider Demographics
NPI:1780601625
Name:FELLMAN, NOELLE P (PSYD)
Entity type:Individual
Prefix:DR
First Name:NOELLE
Middle Name:P
Last Name:FELLMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 440763
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80044-0763
Mailing Address - Country:US
Mailing Address - Phone:303-777-5536
Mailing Address - Fax:720-828-6868
Practice Address - Street 1:17699 E HAMPDEN AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-5214
Practice Address - Country:US
Practice Address - Phone:303-777-5536
Practice Address - Fax:720-828-6868
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2965103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical