Individual
RONALD NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPHD
Contact information
Practice address
222 EDGEWOOD RD NW, STE 202, CEDAR RAPIDS, IA 52405-4472
(319) 393-5004
(319) 393-5004
Mailing address
222 EDGEWOOD RD NW, STE 202, CEDAR RAPIDS, IA 52405-4472
(319) 393-5004
(319) 393-5004
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00386
IA
103T00000X
Psychologist
89
IA
Other
Enumeration date
11/06/2006
Last updated
01/20/2013
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