Provider Demographics
NPI:1609035518
Name:RICE, NANCY (MA/CCC/SLP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
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 1:4680 CORDATA PKWY
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-8038
Mailing Address - Country:US
Mailing Address - Phone:360-398-1966
Mailing Address - Fax:360-398-9428
Practice Address - Street 1:4680 CORDATA PKWY
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-8038
Practice Address - Country:US
Practice Address - Phone:360-398-1966
Practice Address - Fax:360-398-9428
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00003833235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist