Provider Demographics
NPI:1700820982
Name:RICHMAN, NANCY M (AUD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:M
Last Name:RICHMAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:M
Other - Last Name:PORTNOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:3915 WATSON RD STE 201
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63109-1251
Mailing Address - Country:US
Mailing Address - Phone:314-647-3277
Mailing Address - Fax:314-558-9199
Practice Address - Street 1:3915 WATSON RD STE 201
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63109-1251
Practice Address - Country:US
Practice Address - Phone:314-647-3277
Practice Address - Fax:314-558-9199
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000167737231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist