Individual
THOMAS D NEILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1410 17TH AVE S, NASHVILLE, TN 37212-2804
(615) 297-8650
Mailing address
1410 17TH AVE S, NASHVILLE, TN 37212-2804
(615) 297-8650
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P1256
TN
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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