Organization
NELLIE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANJANA RAJA RAO NAGARAJ (CLINIC ASSISTANT)
(647) 482-9593
Entity
Organization
Contact information
Practice address
814 N DURHAM ST, ULYSSES, KS 67880-1627
(416) 303-2202
Mailing address
814 N DURHAM ST, ULYSSES, KS 67880-1627
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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