Individual
DR. CLAYTON BEAU NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 546-6910
Mailing address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 546-6910
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
6301014498
MI
103TC0700X
Clinical Psychologist
Primary
6301014498
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100117700A
—
KS
Enumeration date
07/25/2007
Last updated
01/20/2011
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