Individual
PHILIP PAUL NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6846 S CANTON AVE STE 600, TULSA, OK 74136-3430
(918) 745-0095
(918) 745-0190
Mailing address
6846 S CANTON AVE STE 600, TULSA, OK 74136-3430
(918) 745-0095
(918) 745-0190
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1412
OK
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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