| Mary Jaclyn Nelson, ST | |
|
440 E Tampa St, Springfield, MO 65806-1131 | |
| (417) 831-0150 | |
| (417) 865-3479 |
| Full Name | Mary Jaclyn Nelson |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 440 E Tampa St, Springfield, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497218911 | NPI | - | NPPES |
| 2013017730 | Other | MO | MISSOURI LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2013017730 (Missouri) | Primary |
| Provider Name | Advocates For A Healthy Community Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558303057 PECOS PAC ID: 5395653562 Enrollment ID: O20041109000631 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Jaclyn Nelson, ST 631 N Forest Ave, Springfield, MO 65802-4504 Ph: (417) 207-2580 | Mary Jaclyn Nelson, ST 440 E Tampa St, Springfield, MO 65806-1131 Ph: (417) 831-0150 |
Brandi Clary, MS CCC SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3545 S National Ave, Springfield, MO 65807 Phone: 417-269-4601 | |
Ms. Ellen C Catt, MS,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4518 S Frisco Trail Rd, Springfield, MO 65810 Phone: 417-459-3717 | |
Christina Zapata, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1610 E Sunshine St, Springfield, MO 65804 Phone: 417-523-7500 | |
Virginia Mclaughlin, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-576-3741 | |
Renea Franklin, SLP, CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1610 E. Sunshine Street, Springfield, MO 65804 Phone: 417-523-7500 Fax: 417-523-7595 | |
Ms. Megan Blake, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 639 W Chestnut Expy, Springfield, MO 65802 Phone: 417-895-9012 | |
Lindsey D Pindris, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1610 E Sunshine Street, Springfield, MO 65804 Phone: 417-523-7500 |