| Doctor Name: | NANCY ROSEANN D'URSO |
| NPI Number: | 1144579434 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP-CCC |
| License Number: | 60303857 |
| Business Practice Address: | 2715 Lilac St Longview, WA - 986323526 |
| Business Phone Number: | 3605757000 |
| Business Fax Number: | |
| Mailing Address: | 1634 Bonniebrae Dr, LAKE OSWEGO |
| State: | OR |
| Postal Code: | 970341629 |
| Phone Number: | 5034074059 |
| Fax Number: | |
| NPI Enumeration Date: | 09/03/2012 |
| NPI Last Update Date: | 09/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 60303857 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| 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 |