Bradley Robert Nelson in Grand Rapids - Clinical Child & Adolescent
Bradley Robert Nelson - NPI 1902822919
Bradley Robert Nelson is a Clinical Child & Adolescent in Grand Rapids, Minnesota. Bradley Robert Nelson practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Bradley Robert Nelson is 1902822919. The last update date is 2007-07-08.
Bradley Robert Nelson's current location address is Po Box 534, Grand Rapids, Minnesota. You can contact this provider via phone number 2183260783 and fax number 2183276928. The mailing address for Bradley Robert Nelson is Po Box 534, Grand Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Robert Nelson |
|---|---|
| Address | Po Box 534, Grand Rapids, Minnesota |
| Phone Number | 2183260783 |
| Fax Number | 2183276928 |
| Sole Proprietor | N |
| Credentials | MALP |
NPI Number Detail
| NPI Number | 1902822919 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 534 |
|---|---|
| City | Grand Rapids |
| State | Minnesota (MN) |
| Post Code | 55744 |
| Phone Number | 2183260783 |
| Fax Number | 2183276928 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 160767 | MN | UCARE | |
| 6275968 | MN | MEDICA | |
| 97026 | MN | HEALTH PARTNERS | |
| 3032501 | MN | PREFERRED ONE | |
| 4K585NE | MN | BCBS |
Post Comment/ Review Below
What is the Bradley Robert Nelson's 1902822919?
The Bradley Robert Nelson's NPI (National Provider Identifier) Number is 1902822919. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Bradley Robert Nelson is physically located?
The Bradley Robert Nelson is physically situated at the following address: Po Box 534, Grand Rapids, MN, 55744.
What is Bradley Robert Nelson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bradley Robert Nelson is Clinical Child & Adolescent, and the taxonomy code that categorizes this field of expertise is 103Tc2200X.
When did the Bradley Robert Nelson receive its 1902822919?
The Bradley Robert Nelson was issued its 1902822919 on 2006-07-14, which is the date when the organization was assigned this unique identifier.
When was the Bradley Robert Nelson's information last updated?
The Bradley Robert Nelson's information was last updated on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY