Nelson, Scott Michael

Nelson, Scott Michael is an individual health care provider with primary practice located at 6330 Lbj Fwy Suite 150, Dallas TX 75240-6467. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Nelson, Scott Michael can be contacted via phone (972) 233-6301.

Contact Information

Primary practice address
6330 Lbj Fwy Suite 150 Dallas TX 75240-6467
Phone: (972) 233-6301
Fax: (972) 991-8966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 32145 Texas

Profile Details

NPI number 1164414033
LBN Legal business name Nelson, Scott Michael
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Jul 8th, 2007 - about 19 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 1164414033 NPPES
Texas MEDICAID 1684631

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