Provider Demographics
NPI:1962827147
Name:TORGERSON, NANCY ANN (CCC/SLP)
Entity Type:Individual
Prefix:MISS
First Name:NANCY
Middle Name:ANN
Last Name:TORGERSON
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8896 COMMERCE RD
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:COMMERCE TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48382-4494
Mailing Address - Country:US
Mailing Address - Phone:248-363-6448
Mailing Address - Fax:248-363-8465
Practice Address - Street 1:8896 COMMERCE RD
Practice Address - Street 2:SUITE 2A
Practice Address - City:COMMERCE TWP
Practice Address - State:MI
Practice Address - Zip Code:48382-4494
Practice Address - Country:US
Practice Address - Phone:248-363-6448
Practice Address - Fax:248-363-8465
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-25
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7101003455235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist