MEDICARE: MARY LYNN NEL MS,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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639159429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY LYNN NEL MS,CCC-SLP

Provider Business Mailing Address
First Line	:	3001 TAFT AVE
Second Line	:	SUITE 100
City	:	LOVELAND
State	:	CO
Zip	:	80538-8307
Country	:	US
Telephone Number	:	970-412-6394
Fax Number	:	970-663-3227

Provider Business Practice Location Address
First Line	:	3001 TAFT AVE
Second Line	:	SUITE 100
City	:	LOVELAND
State	:	CO
Zip	:	80538-8307
Country	:	US
Telephone Number	:	970-412-6394
Fax Number	:	970-663-3227

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2006
Last Update Date	:	08/05/2011

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