Provider Demographics
NPI:1144493610
Name:NELSON, BARBARA ELAINE (MA, CCC-A)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:ELAINE
Last Name:NELSON
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:ELAINE
Other - Last Name:MULLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-A
Mailing Address - Street 1:1601 NW 114TH ST STE 230
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-7035
Mailing Address - Country:US
Mailing Address - Phone:515-222-7761
Mailing Address - Fax:515-222-7926
Practice Address - Street 1:1601 NW 114TH ST STE 230
Practice Address - Street 2:
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-7035
Practice Address - Country:US
Practice Address - Phone:515-222-7761
Practice Address - Fax:515-222-7926
Is Sole Proprietor?:No
Enumeration Date:2008-04-07
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00599231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist