Provider Demographics
NPI:1750084398
Name:NELSON, CLAIRE STACEY (MA, CF-SLP)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:STACEY
Last Name:NELSON
Suffix:
Gender:F
Credentials:MA, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3404 S PLATTE RIVER DR APT 2307
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-2156
Mailing Address - Country:US
Mailing Address - Phone:303-995-9842
Mailing Address - Fax:
Practice Address - Street 1:3404 S PLATTE RIVER DR APT 2307
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-2156
Practice Address - Country:US
Practice Address - Phone:303-995-9842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist