Individual
KRISTIE A NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
500 N 9TH ST, SUITE A, MODESTO, CA 95350-5814
(209) 527-4597
Mailing address
500 N 9TH ST, SUITE A, MODESTO, CA 95350-5814
(209) 604-9682
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY29568
CA
Other
Enumeration date
01/26/2011
Last updated
11/02/2017
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