| Sydney Nelson, MS, CCC-SLP | |
|
113 Central Ave S, Beulah, ND 58523-6759 | |
| (701) 222-3175 | |
| (701) 222-3186 |
| Full Name | Sydney Nelson |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 113 Central Ave S, Beulah, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598389983 | NPI | - | NPPES |
| 1480044 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | 1831 (North Dakota) | Primary |
| Provider Name | Red Door Pediatric Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1639257033 PECOS PAC ID: 9739571647 Enrollment ID: O20220126000470 |
| Mailing Address | Practice Location Address |
|---|---|
| Sydney Nelson, MS, CCC-SLP 2625 N 19th St, Bismarck, ND 58503-0574 Ph: (701) 222-3175 | Sydney Nelson, MS, CCC-SLP 113 Central Ave S, Beulah, ND 58523-6759 Ph: (701) 222-3175 |
Mrs. Chelsea Phillipe, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 113 Central Ave S, Beulah, ND 58523 Phone: 701-222-3175 Fax: 701-222-3186 | |
Mrs. Briana Leier, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 113 Central Ave S, Beulah, ND 58523 Phone: 701-222-3175 Fax: 701-222-3186 | |
Haydee M Krieg, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 113 Central Ave S, Beulah, ND 58523 Phone: 701-222-3175 Fax: 701-222-3186 |