Individual
DR. ROSEMARY NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
435 MARSHALL VIEW CT, WINSTON SALEM, NC 27101-5285
(336) 917-3111
(336) 917-3111
Mailing address
435 MARSHALL VIEW CT, WINSTON-SALEM, NC 27101-5285
(336) 917-3111
(336) 917-3111
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1389
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000746
—
NC
Enumeration date
03/20/2006
Last updated
09/20/2011
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