Individual
ANGELA RAE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., LP
Contact information
Practice address
1650 W END BLVD, SUITE 100, ST LOUIS PARK, MN 55416-5367
(952) 856-8452
(952) 487-0380
Mailing address
18635 37TH AVE N, PLYMOUTH, MN 55446-2856
(763) 355-4558
(763) 478-9294
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5086
MN
Other
Enumeration date
07/06/2009
Last updated
04/07/2015
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