Individual
ANDREA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
310 N MIDVALE BLVD STE 202, MADISON, WI 53705-3265
(608) 238-9991
Mailing address
525 MEMPHIS AVE, MADISON, WI 53714-1512
(608) 242-9808
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
272257
WI
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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