National Provider Identifier
Theodora Price Nelson, NYS LICENSE
Theodora Price Nelson, NYS LICENSE is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Mayville, NY and a listed phone number of (716) 753-5843.
Profile Overview
- NPI
- 1710255419
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- December 08, 2011
- Last Updated
- December 08, 2011
Practice Location
- 100 N Erie St
- Mayville, NY 14757-9755
Phone: (716) 753-5843
Mailing Address
- 8685 Erie RD
- Angola, NY 14006-9620
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1710255419
- Entity Type
- Individual
- Last Name
- Nelson
- First Name
- Theodora
- Middle Name
- Price
- Name Prefix
- Mrs.
- Credential
- NYS LICENSE
- Mailing Street Address
- 8685 Erie RD
- Mailing City
- Angola
- Mailing State
- NY
- Mailing ZIP Code
- 14006-9620
- Mailing Country
- US
- Mailing Phone
- (716) 549-4454
- Mailing Fax
- (716) 549-0217
- Practice Street Address
- 100 N Erie St
- Practice City
- Mayville
- Practice State
- NY
- Practice ZIP Code
- 14757-9755
- Practice Country
- US
- Practice Phone
- (716) 753-5843
- Practice Fax
- (716) 753-5850
- Enumeration Date
- December 08, 2011
- Last Updated
- December 08, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)