Individual
MADELINE KAY NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6290 WINDLASS AVE SE, PORT ORCHARD, WA 98367-8398
(805) 823-3413
Mailing address
6290 WINDLASS AVE SE, PORT ORCHARD, WA 98367-8398
(805) 823-3413
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY61477178
WA
Other
Enumeration date
05/26/2022
Last updated
04/02/2025
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