Organization
STEVEN NELSON, PHD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN NELSON PHD (PRESIDENT)
(307) 739-9500
Entity
Organization
Contact information
Practice address
140 E. BROADWAY AVE., SUITE 25, JACKSON, WY 83001-0516
(307) 739-9500
(307) 733-2837
Mailing address
PO BOX 516, JACKSON, WY 83001-0516
(307) 739-9500
(307) 733-2837
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
287
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538211388
—
WY
Enumeration date
12/14/2010
Last updated
12/14/2010
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