Individual
MELANIE M NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
871 SW STATE ROAD 47, LAKE CITY, FL 32025-0433
(386) 438-8615
(386) 438-8614
Mailing address
PO BOX 606, GLEN ST MARY, FL 32040-0606
(904) 653-1818
(904) 653-1814
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1027
OK
103TC0700X
Clinical Psychologist
Primary
PY 8562
FL
Other
Enumeration date
08/05/2006
Last updated
11/25/2014
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