Doctor Name: | MRS. NANCY H NUSBAUM |
NPI Number: | 1811184062 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MCD CCCSLP |
License Number: | SA10619 |
Business Practice Address: | 893 N Halifax Dr Ormond Beach, FL - 321764166 |
Business Phone Number: | 3347502513 |
Business Fax Number: | |
Mailing Address: | 893 N Halifax Dr, ORMOND BEACH |
State: | FL |
Postal Code: | 321764166 |
Phone Number: | 3347502513 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2007 |
NPI Last Update Date: | 09/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA10619 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |