Provider Demographics
NPI:1326801333
Name:NELSON, ANNA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:
Last Name:NELSON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 MOUNT MORIAH RD
Mailing Address - Street 2:
Mailing Address - City:PELL CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35125-3643
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:48065 HWY 78
Practice Address - Street 2:SUITE D
Practice Address - City:LINCOLN
Practice Address - State:AL
Practice Address - Zip Code:35096
Practice Address - Country:US
Practice Address - Phone:256-473-1080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist