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Traci Nicole Nelson, SLP

Speech-Language Pathologist, in Morgantown, WV. Individual provider (NPI-1).

NPI number1467196915
StatusActive
Last updated in NPPESApr 21, 2022

Details

NPI
1467196915
Entity type
Individual (NPI-1)
Name
Traci Nicole Nelson
Credential
SLP
Sex
Female
Sole proprietor
No
Enumeration date
Apr 21, 2022
Certification date
Apr 18, 2022
Last updated
Apr 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SLP-0920WVYes

Practice location

6 Edwin St
Morgantown, WV 26501-8505

Phone 304-292-0173

Mailing address

6 Edwin St
Morgantown, WV 26501-8505

Phone 304-292-0173

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