Individual
MELITTA RENEE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6552 VENICE DR, NEWBURGH, IN 47630-8613
(812) 604-9990
Mailing address
6552 VENICE DR, NEWBURGH, IN 47630-8613
(812) 604-9990
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10220166
IN
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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