Individual
MR. GREGORY W. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LP
Contact information
Practice address
1400 MADISON AVENUE SUITE 352, MANKATO CLINIC DEPARTMENT OF PSYCHIATRY AND PSYCHOLOGY, MANKATO, MN 56001
(507) 387-3195
(507) 625-8998
Mailing address
PO BOX 8674 1230 E. MAIN STREET, MANKATO CLINIC, LTD, MANKATO, MN 56002-8674
(507) 625-1811
(507) 625-8998
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP2143
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346331345
—
MN
Enumeration date
09/27/2006
Last updated
07/28/2020
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