Individual
DR. DANIELLE HEATHER NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
455 LANTANA AVE, EUGENE, OR 97404-1893
(503) 461-5694
Mailing address
455 LANTANA AVE, EUGENE, OR 97404-1893
(503) 750-5126
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3682
OR
Other
Enumeration date
06/20/2017
Last updated
03/30/2023
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