Individual
ANDREA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
530 W OJAI AVE, SUITE 206, OJAI, CA 93023-2472
(805) 640-8549
(805) 640-8624
Mailing address
530 W OJAI AVE, SUITE 206, OJAI, CA 93023-2472
(805) 640-8549
(805) 640-8624
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY13378
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00CP13378
—
CA
Enumeration date
07/17/2006
Last updated
04/07/2008
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