Individual
MR. JAMES MICHAEL NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., CCC-SLP
Contact information
Practice address
415 MISSION HILL DR, FORT WAYNE, IN 46804-6425
(260) 431-2651
Mailing address
609 THREE RIVERS N, FORT WAYNE, IN 46802-1306
(260) 426-8460
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003722A
IN
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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