Individual
ELIZABETH NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA SLPCCC
Contact information
Practice address
1081 EAGLE LAKE RD, BAR HARBOR, ME 04609-7331
(207) 288-5011
Mailing address
180 EAGLE LAKE ROAD, MOUNT DESERT, ME 04660
(207) 288-5011
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1064
ME
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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