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
1	235Z00000X	Speech-Language Pathologist	SLP8632	MA

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

Language	Start Address	Practice Location

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