Individual
DR. JOHN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-7934
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
28054
CA
103TC0700X
Clinical Psychologist
40647
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N/A
—
CA
05
—
N/A
—
VA
Enumeration date
07/07/2014
Last updated
01/20/2026
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