Individual
DR. SELISHA NELSON-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LCP
Contact information
Practice address
555 SOUTHLAKE BLVD UNIT C2, NORTH CHESTERFIELD, VA 23236-3060
(804) 592-0491
Mailing address
555 SOUTHLAKE BLVD UNIT C2, NORTH CHESTERFIELD, VA 23236-3060
(804) 592-0491
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810006299
VA
Other
Enumeration date
09/09/2019
Last updated
11/13/2023
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