Provider Demographics
NPI:1265550636
Name:VESCI, NINA ANN (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:NINA
Middle Name:ANN
Last Name:VESCI
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 KERR RD
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MO
Mailing Address - Zip Code:65610-9296
Mailing Address - Country:US
Mailing Address - Phone:417-744-1970
Mailing Address - Fax:
Practice Address - Street 1:118 W MOUNT VERNON RD
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MO
Practice Address - Zip Code:65610-9713
Practice Address - Country:US
Practice Address - Phone:417-744-2552
Practice Address - Fax:417-744-4357
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002017405235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist