| Nelson Psychological Services, Llc | |
|
8360 W Oakland Park Blvd Ste 301f&g Sunrise FL 33351-7332 | |
| (941) 404-5483 | |
| (941) 328-3575 |
| Full Name | Nelson Psychological Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8360 W Oakland Park Blvd Ste 301f&g, Sunrise, Florida |
| Authorized Official Name and Position | Tiesha S Nelson (CEO) |
| Authorized Official Contact | 9542948139 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nelson Psychological Services, Llc 8360 W Oakland Park Blvd Ste 301f&g Sunrise FL 33351-7332 Ph: (941) 404-5483 | Nelson Psychological Services, Llc 8360 W Oakland Park Blvd Ste 301f&g Sunrise FL 33351-7332 Ph: (941) 404-5483 |
| NPI Number | 1548814189 |
|---|---|
| Provider Enumeration Date | 07/31/2019 |
| Last Update Date | 06/15/2020 |
| Certification Date | 06/15/2020 |
| Medicare PECOS PAC ID | 8527597921 |
|---|---|
| Medicare Enrollment ID | O20250130001712 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548814189 | NPI | - | NPPES |
| Provider Name | Tiesha Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548407919 PECOS PAC ID: 9234294489 Enrollment ID: I20250130001790 |
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