Individual
DR. BUTLER NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2931 SHATTUCK AVE, SUITE 101E, BERKELEY, CA 94705-1808
(510) 548-8980
(510) 374-6777
Mailing address
1400 PINNACLE CT, #203, RICHMOND, CA 94801-4199
(510) 548-8980
(510) 374-6777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MFT12314
CA
103TA0700X
Adult Development & Aging Psychologist
PSY13930
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY13930
CA
103TC0700X
Clinical Psychologist
Primary
PSY13930
CA
103TC1900X
Counseling Psychologist
PSY13930
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY13930
CA
103TF0000X
Family Psychologist
PSY13930
CA
103TH0004X
Health Psychologist
PSY13930
CA
106H00000X
Marriage & Family Therapist
MFT12314
CA
Other
Enumeration date
05/10/2006
Last updated
04/28/2016
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