Provider Demographics
NPI:1861601403
Name:SHAY, NANCY ELAINE (SLP, CCC-SP)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:ELAINE
Last Name:SHAY
Suffix:
Gender:F
Credentials:SLP, CCC-SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 IMPERIAL AVE
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05201-2440
Mailing Address - Country:US
Mailing Address - Phone:802-447-2434
Mailing Address - Fax:
Practice Address - Street 1:110 IMPERIAL AVE
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:VT
Practice Address - Zip Code:05201-2440
Practice Address - Country:US
Practice Address - Phone:802-447-2434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist