Doctor Name: | MS. AMY NELSON |
NPI Number: | 1669771051 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 8703 |
Business Practice Address: | 4415 W 36 1/2 St St Louis Park, MN - 554164854 |
Business Phone Number: | 9529279717 |
Business Fax Number: | 9529277687 |
Mailing Address: | 4415 W 36 1/2 St, ST LOUIS PARK |
State: | MN |
Postal Code: | 554164854 |
Phone Number: | 9529279717 |
Fax Number: | 9529277687 |
NPI Enumeration Date: | 03/24/2011 |
NPI Last Update Date: | 03/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8703 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |