Individual
DR. SCOTT MICHAEL NELSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6330 LBJ FWY, SUITE 150, DALLAS, TX 75240-6467
(972) 233-6301
(972) 991-8966
Mailing address
6330 LBJ FWY, SUITE 150, DALLAS, TX 75240-6467
(972) 233-6301
(972) 991-8966
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32145
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1684631
—
TX
Enumeration date
08/17/2005
Last updated
07/08/2007
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