Provider Demographics
NPI:1528522018
Name:NELSON, CLARICE ADELL (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:CLARICE
Middle Name:ADELL
Last Name:NELSON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5010 FAIRGREEN LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77048-2532
Mailing Address - Country:US
Mailing Address - Phone:713-408-3680
Mailing Address - Fax:713-738-6953
Practice Address - Street 1:1106 WOODBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2358
Practice Address - Country:US
Practice Address - Phone:713-340-0134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-29
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist