Individual
NANCY ROSEANN D'URSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
2715 LILAC ST, LONGVIEW, WA 98632-3526
(360) 575-7000
Mailing address
1634 BONNIEBRAE DR, LAKE OSWEGO, OR 97034-1629
(503) 407-4059
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
483694F
WA
235Z00000X
Speech-Language Pathologist
60303857
WA
Other
Enumeration date
09/03/2012
Last updated
09/03/2012
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