Organization
NEUREVAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURT DAVID NIELSEN PSYD (CLINICAL PYSCHOLOGIST)
(360) 930-3355
Entity
Organization
Contact information
Practice address
20186 FRONT ST NE, POULSBO, WA 98370-7445
(360) 930-3354
(360) 930-3356
Mailing address
PO BOX 221, POULSBO, WA 98370-0221
(206) 650-6231
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
WA
Other
Enumeration date
07/04/2018
Last updated
02/21/2020
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