Individual
DR. SCOTT BRUCE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
855 W 8TH AVE, MESA, AZ 85210-3401
(480) 472-1039
(480) 472-1110
Mailing address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-1039
(480) 472-1110
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1632
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
788391
—
AZ
Enumeration date
02/05/2007
Last updated
07/09/2007
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