Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 4098 | CT |
Y | 103T00000X | Psychologist | 4098 | CT |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 32467 | CA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 4098 | CT |
N | 225C00000X | Rehabilitation Counselor |
NPI | 1235620329 |
---|---|
Provider Name | Danielle Christine Nelson |
First Address | New Haven, CT 06511-6617 |
Second Address | New Haven, CT 06511-6100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2018 |
Last Update Date | 02/11/2021 |