Individual
REGINALD NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1800 ENCINA AVE, MODESTO, CA 95354-1502
(209) 574-1906
Mailing address
1800 ENCINA AVE, MODESTO, CA 95354-1502
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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