Individual
LINDA CAROL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4101 HARRIET AVE S, MINNEAPOLIS, MN 55409-1442
(612) 379-2640
(612) 379-2820
Mailing address
17306 CALICO HILL RD, ALTURA, MN 55910-4223
(612) 379-2640
(612) 379-2820
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1274
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
985250600
—
MN
Enumeration date
08/12/2006
Last updated
10/27/2022
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