Individual
LISA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1538 MERIT LN, LIBERTY, MO 64068-2098
(816) 210-7963
(816) 792-2362
Mailing address
1538 MERIT LN, LIBERTY, MO 64068-2098
(816) 210-7963
(816) 792-2362
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
HE 117116
MO
Other
Enumeration date
01/22/2007
Last updated
05/17/2012
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