Individual
DENISE R NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10921 WILSHIRE BLVD, SUITE 1206, LOS ANGELES, CA 90024-3906
(310) 963-4891
Mailing address
10921 WILSHIRE BLVD, SUITE 1206, LOS ANGELES, CA 90024-3906
(310) 963-4891
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY18659
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY186590
—
CA
Enumeration date
07/27/2006
Last updated
05/24/2010
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