Provider Demographics
NPI:1649697301
Name:LEE, NANCY (SLP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 ATLAS ST.
Mailing Address - Street 2:HILLIARD CITY SCHOOLS
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43028
Mailing Address - Country:US
Mailing Address - Phone:614-921-5700
Mailing Address - Fax:
Practice Address - Street 1:2140 ATLAS ST.
Practice Address - Street 2:HILLIARD CITY SCHOOLS
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43028
Practice Address - Country:US
Practice Address - Phone:614-921-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-19
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.7360235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist