Dr. Tiesha Simona Nelson
Psychologist Clinical Psychologist Forensic Psychologist Addiction Psychologist (Substance Use Disorder)
8360 W Oakland Park Blvd Ste 303
Sunrise
, Florida 33351-7339
Dr. Tiesha Simona Nelson
Psychologist Clinical Psychologist Forensic Psychologist Addiction Psychologist (Substance Use Disorder)
8360 W Oakland Park Blvd Ste 303
Sunrise
, Florida 33351-7339
(954) 246-4996
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About
Features
Specialties
- Psychologist
- Addiction Psychologist (Substance Use Disorder)
- Clinical Psychologist
- Forensic Psychologist
Languages spoken
- English
Location
First Address
- Dr. Tiesha Simona Nelson
- 8360 W Oakland Park Blvd Ste 303
- Sunrise, FL
- Zip : 33351-7339
- Fax : (954) 246-4996
- Phone : (954) 546-4677
Second Address
- Dr. Tiesha Simona Nelson
- 8360 W Oakland Park Blvd Ste 303
- Sunrise, FL
- Zip : 33351-7339
- Fax : (941) 328-3575
- Phone : (954) 546-4677
Reviews
FAQs
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Is Dr. Tiesha Simona Nelson a sole practitioner?
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Does Dr. Tiesha Simona Nelson have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | PY 7781 | FL |
| Y | 103T00000X | Psychologist | PY 7781 | FL |
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PY7781 | FL |
| N | 103G00000X | Clinical Psychologist | PY7781 | FL |
| N | 103TC0700X | Clinical Psychologist | PY7781 | FL |
| N | 103TF0200X | Forensic Psychologist | PY7781 | FL |
National Provider Identifier
| NPI | 1548407919 |
|---|---|
| Provider Name | Dr. Tiesha Simona Nelson |
| First Address | Sunrise, FL 33351-7339 |
| Second Address | Sunrise, FL 33351-7339 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/01/2009 |
| Last Update Date | 06/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 106660500 | (05) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.