Provider Demographics
NPI:1174802276
Name:PRICE, NANCY BLONAISZ (CCC/SLP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:BLONAISZ
Last Name:PRICE
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 1:18 CLUB RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:SC
Mailing Address - Zip Code:29045-8324
Mailing Address - Country:US
Mailing Address - Phone:803-736-9917
Mailing Address - Fax:
Practice Address - Street 1:18 CLUB RIDGE CT
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:SC
Practice Address - Zip Code:29045-8324
Practice Address - Country:US
Practice Address - Phone:803-736-9917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-08
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC395235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist