Provider Demographics
NPI:1184864555
Name:KAMMERSELL, NANCY M (MACCCSLP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:M
Last Name:KAMMERSELL
Suffix:
Gender:F
Credentials:MACCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 RIDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15229-1970
Mailing Address - Country:US
Mailing Address - Phone:412-931-4839
Mailing Address - Fax:
Practice Address - Street 1:6000 BABCOCK BLVD
Practice Address - Street 2:SUITE 1002
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-2564
Practice Address - Country:US
Practice Address - Phone:412-369-5160
Practice Address - Fax:412-369-5165
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-25
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL000167L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist