Individual
GRAHAM NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
520 10TH AVE, CORALVILLE, IA 52241-1910
(319) 358-2406
Mailing address
1106 MUSCATINE AVE, IOWA CITY, IA 52240-5500
(612) 840-5641
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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