Individual
DR. KATHLEEN KREMSER NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1042 N MILFORD RD STE 205, MILFORD, MI 48381-5109
(248) 889-5767
(248) 714-1480
Mailing address
1042 N MILFORD RD STE 205, MILFORD, MI 48381-5109
(248) 889-5767
(248) 714-1480
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301008117
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F332330
BCBS
MI
01
—
1205042959
GROUP NPI
MI
Enumeration date
11/07/2008
Last updated
10/27/2022
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