| Kathleen Nelson Ph.d., Plc | |
|
1042 N Milford Rd Ste 205 Milford MI 48381-5109 | |
| (248) 889-5767 | |
| (248) 714-1480 |
| Full Name | Kathleen Nelson Ph.d., Plc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1042 N Milford Rd Ste 205, Milford, Michigan |
| Authorized Official Name and Position | Kathleen Kremser Nelson (OWNER) |
| Authorized Official Contact | 2488895767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Nelson Ph.d., Plc 1042 N Milford Rd Ste 205 Milford MI 48381-5109 Ph: (248) 889-5767 | Kathleen Nelson Ph.d., Plc 1042 N Milford Rd Ste 205 Milford MI 48381-5109 Ph: (248) 889-5767 |
| NPI Number | 1205042959 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 11/16/2022 |
| Certification Date | 11/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205042959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301008117 (Michigan) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
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