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Individual

NELS HAROLD MAGELSSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
11522 NE 21ST ST, BELLEVUE, WA 98004-3025
(425) 455-5868
(425) 637-0699
Mailing address
11522 NE 21ST ST, BELLEVUE, WA 98004-3025
(425) 455-5868
(425) 637-0699

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
1434
WA
103G00000X
Clinical Neuropsychologist
Primary
1434
WA
103TC0700X
Clinical Psychologist
1434
WA
103TC2200X
Clinical Child & Adolescent Psychologist
1434
WA

Other

Enumeration date
07/24/2012
Last updated
07/24/2012
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