Provider Demographics
NPI:1407405525
Name:HUME, NANCY CLAYTON (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:CLAYTON
Last Name:HUME
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 1:274 WATER ST APT 5F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-1756
Mailing Address - Country:US
Mailing Address - Phone:917-207-9312
Mailing Address - Fax:
Practice Address - Street 1:350 BERKSHIRE RD
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:NY
Practice Address - Zip Code:12529-5256
Practice Address - Country:US
Practice Address - Phone:518-325-3818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009160-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist