Individual
EMILY B NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
4045 WADSWORTH BLVD STE 210, WHEAT RIDGE, CO 80033-4624
(720) 633-4528
(720) 302-1185
Mailing address
4467 KING ST, DENVER, CO 80211-1325
(720) 763-3245
(720) 302-1185
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2977
KS
235Z00000X
Speech-Language Pathologist
Primary
SLP.0000819
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
543094ZXGH
MEDICARE B COLORADO
CO
01
—
KA4321001
MEDICARE B KANSAS
KS
Enumeration date
05/14/2010
Last updated
11/18/2020
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