Individual
DR. DAVID M NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
Mailing address
620 E 10TH AVE, COLVILLE, WA 99114-9410
(509) 685-1965
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00002019
WA
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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