Individual
MARK LESLIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
115 E CHURCHVILLE RD, BEL AIR, MD 21014-3801
(443) 226-3868
Mailing address
115 E CHURCHVILLE RD, BEL AIR, MD 21014-3801
(443) 226-3868
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
03906
MD
Other
Enumeration date
03/12/2010
Last updated
03/12/2010
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