Individual
NANCY DEE AVERILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CC-SLP
Contact information
Practice address
20 WESTWOOD MEDICAL PARK, BLUEFIELD, VA 24605-2003
(276) 322-5439
Mailing address
12211 MEETINGHOUSE DR, CORNELIUS, NC 28031-4559
(660) 216-9859
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2005014671
MO
235Z00000X
Speech-Language Pathologist
Primary
2202009066
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992931216
—
MO
Enumeration date
06/01/2009
Last updated
03/12/2019
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