Provider Demographics
NPI:1235281734
Name:RICE, NANCY JEANNE (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:JEANNE
Last Name:RICE
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2311 BRENTWOOD LN
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-2105
Mailing Address - Country:US
Mailing Address - Phone:406-670-4296
Mailing Address - Fax:
Practice Address - Street 1:2311 BRENTWOOD LN
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-2105
Practice Address - Country:US
Practice Address - Phone:406-256-7148
Practice Address - Fax:406-256-0668
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT535235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0535313Medicaid