Doctor Name: | AUDREY NELSON |
NPI Number: | 1972903094 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 810 Poinsetta Dr Apt 10 Indian Harbour Beach, FL - 329373551 |
Business Phone Number: | 7192134797 |
Business Fax Number: | |
Mailing Address: | 810 Poinsetta Dr Apt 10, INDIAN HARBOUR BEACH |
State: | FL |
Postal Code: | 329373551 |
Phone Number: | 7192134797 |
Fax Number: | |
NPI Enumeration Date: | 08/26/2014 |
NPI Last Update Date: | 08/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |