Nelson, Clayton Beau

Nelson, Clayton Beau is an individual health care provider with primary practice located at 2215 Fuller Rd , Ann Arbor MI 48105-2303. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Nelson, Clayton Beau can be contacted via phone (734) 546-6910.

Contact Information

Primary practice address
2215 Fuller Rd Ann Arbor MI 48105-2303
Phone: (734) 546-6910
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301014498 Michigan
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 6301014498 Michigan

Profile Details

NPI number 1154511350
LBN Legal business name Nelson, Clayton Beau
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2007
Last updated Jan 20th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154511350 NPPES
Kansas MEDICAID 100117700A

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