Jaime Nelson

Individual provider Active NPI Speech-Language Pathologist · Laurel, MT

NPI 1922531763 · NPPES record last updated Apr 8, 2017

Key facts

NPI
1922531763
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SLP-SP-TMP-6280 (MT)
Practice address
820 3Rd Ave
Laurel, MT 59044-2023
Phone
(406) 281-2818
NPI assigned
Apr 8, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SLP-SP-TMP-6280MTMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP-SP-TMP-6280 MT Yes

Addresses

Primary practice location

820 3Rd Ave
Laurel, MT 59044-2023

Mailing address

6275 Canyonwoods Dr
Billings, MT 59106-9735

Other providers in Laurel, MT

All providers in Laurel, MT · Speech-Language Pathologist in Montana

Sources for this page

Verify at the official NPI Registry.