Individual
CHRISTIE ANN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4101 4TH STREET TRAFFICWAY, LEAVENWORTH, KS 66048
(913) 682-2000
Mailing address
4101 4TH STREET TRAFFICWAY, LEAVENWORTH, KS 66048
(913) 682-2000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
129671
KY
Other
Enumeration date
04/08/2018
Last updated
10/03/2018
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