Scott Bruce Nelson in Mesa - School

Scott Bruce Nelson - NPI 1134268626

Scott Bruce Nelson is a School in Mesa, Arizona. Scott Bruce Nelson practices all healthcare services and medical treatments related to School. The NPI Number for Scott Bruce Nelson is 1134268626. The last update date is 2007-07-09.

Scott Bruce Nelson's current location address is 1025 N Country Club Dr, Mesa, Arizona. You can contact this provider via phone number 4804721039 and fax number 4804721110. The mailing address for Scott Bruce Nelson is 1025 N Country Club Dr, Mesa, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Scott Bruce Nelson
Address 1025 N Country Club Dr, Mesa, Arizona
Phone Number 4804721039
Fax Number 4804721110
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1134268626
Provider Enumeration Date 2007-02-05
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1025 N Country Club Dr
City Mesa
State Arizona (AZ)
Post Code 852013307
Phone Number 4804721039
Fax Number 4804721110

Provider's Primary Taxonomy Detail

Speciality School
Taxonomy 103Ts0200X
Licence No 1632
Definition:
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
788391 AZ --

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FAQs about Scott Bruce Nelson

What is the unique 10-digit identifier code issued to Scott Bruce Nelson by the Centers for Medicare & Medicaid Services?

The Scott Bruce Nelson has been assigned the NPI (National Provider Identifier) 1134268626 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Scott Bruce Nelson is physically located?

The Scott Bruce Nelson is situated at the following address: 1025 N Country Club Dr, Mesa, AZ 852013307.

What is the Scott Bruce Nelson's area of specialization and corresponding taxonomy classification?

The Scott Bruce Nelson's specialty field is School, and it falls under the taxonomy code 103Ts0200X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1134268626 to Scott Bruce Nelson?

The Centers for Medicare & Medicaid Services originally issued the 1134268626 to Scott Bruce Nelson on 2007-02-05.

When was the information related to Scott Bruce Nelson most recently updated or refreshed?

The details pertaining to the Scott Bruce Nelson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.

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