Individual
OLIVIA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4001 W MCNICHOLS RD, DETROIT, MI 48221-3038
(248) 660-7577
Mailing address
4001 W MCNICHOLS RD, DETROIT, MI 48221-3038
(248) 660-7577
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6352001075
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/29/2020
Last updated
08/11/2025
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