Provider Demographics
NPI:1558539189
Name:ELENSKY, NANCY CARLSON (MED,CCC, SLP/L)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:CARLSON
Last Name:ELENSKY
Suffix:
Gender:F
Credentials:MED,CCC, SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 205
Mailing Address - Street 2:
Mailing Address - City:CURWENSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16833-0205
Mailing Address - Country:US
Mailing Address - Phone:814-236-3761
Mailing Address - Fax:
Practice Address - Street 1:12800 CURWENSVILLE TYRONE HWY
Practice Address - Street 2:
Practice Address - City:CURWENSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16833-6756
Practice Address - Country:US
Practice Address - Phone:814-236-3761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-17
Last Update Date:2008-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL001187L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist