Individual
DR. KIMBERLY MICHELLE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MPH
Contact information
Practice address
801 MASSACHUSETTS AVE FL 4, BOSTON, MA 02118-2605
(415) 271-9111
Mailing address
801 MASSACHUSETTS AVE FL 4, BOSTON, MA 02118-2605
(415) 271-9111
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY11611
MA
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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