Individual
MS. BETTY JEANNE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
95 MERRITT BLVD, TRUMBULL, CT 06611-5435
(203) 386-2722
Mailing address
1624 KETTLETOWN RD, SOUTHBURY, CT 06488-2604
(203) 386-2722
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002087
CT
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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