| Linda D. Nelson, Ph.d., Abpn, Inc. | |
|
1137 2nd St Ste 101 Santa Monica CA 90403-5068 | |
| (310) 458-4581 | |
| Not Available |
| Full Name | Linda D. Nelson, Ph.d., Abpn, Inc. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1137 2nd St Ste 101, Santa Monica, California |
| Authorized Official Name and Position | Linda D Nelson (OWNER) |
| Authorized Official Contact | 3104584581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda D. Nelson, Ph.d., Abpn, Inc. 1137 2nd St Ste 101 Santa Monica CA 90403-5068 Ph: (310) 458-4581 | Linda D. Nelson, Ph.d., Abpn, Inc. 1137 2nd St Ste 101 Santa Monica CA 90403-5068 Ph: (310) 458-4581 |
| NPI Number | 1851651400 |
|---|---|
| Provider Enumeration Date | 05/16/2012 |
| Last Update Date | 05/16/2012 |
| Medicare PECOS PAC ID | 8921254061 |
|---|---|
| Medicare Enrollment ID | O20120806000783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851651400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY10688 (California) | Primary |
| Provider Name | Linda D Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366483489 PECOS PAC ID: 5890741433 Enrollment ID: I20050325000566 |
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