Individual
DR. WILBUR JOSEPH NELSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3 NORTHWESTERN DR, BLOOMFIELD, CT 06002-3465
(860) 243-3477
(860) 243-3224
Mailing address
283 SPRING ST, MANCHESTER, CT 06040-6640
(860) 243-3477
(860) 243-3224
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
000818
CT
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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