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NPI Code Detail

MEDICARE: NANCY CLEMENTS MA, CCC-SLP

MEDICARE: NANCY CLEMENTS MA, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSLP8632MA

General Provider Information

NPI Number : 1558871616
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY CLEMENTS MA, CCC-SLP
Provider Business Mailing Address
First Line : 144 NORTH RD STE 3100
Second Line :
City : SUDBURY
State : MA
Zip : 01776-1182
Country : US
Telephone Number : 978-610-6603
Fax Number :
Provider Business Practice Location Address
First Line : 144 NORTH RD STE 3100
Second Line :
City : SUDBURY
State : MA
Zip : 01776-1182
Country : US
Telephone Number : 978-610-6603
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2017
Last Update Date : 03/12/2024

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Directions to “ NANCY CLEMENTS MA, CCC-SLP” Practice Location

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