Organization Name: | NELSONSLPSERVICESLLC |
NPI Number: | 1033575477 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAWNA NELSON (SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 4261 N 142nd St Omaha |
State: | NE US |
Postal Code: | 681645036 |
Phone Number: | 4024909510 |
Fax Number: | |
NPI Enumeration Date: | 01/14/2016 |
NPI Last Update Date: | 01/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 505 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |