Mr. Brian Vernon Nelson
Cognitive & Behavioral Psychologist
3305 Casco Cir
Wayzata
, Minnesota 55391-9718
Mr. Brian Vernon Nelson
Cognitive & Behavioral Psychologist
3305 Casco Cir
Wayzata
, Minnesota 55391-9718
(952) 471-7211
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
Languages spoken
- English
Location
First Address
- Mr. Brian Vernon Nelson
- 3305 Casco Cir
- Wayzata, MN
- Zip : 55391-9718
- Fax : (952) 471-7211
- Phone : (952) 393-6280
Second Address
- Mr. Brian Vernon Nelson
- 3305 Casco Cir
- Wayzata, MN
- Zip : 55391-9718
- Fax : (952) 471-7211
- Phone : (952) 471-7211
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TB0200X | Cognitive & Behavioral Psychologist | LP1543 | MN |
National Provider Identifier
| NPI | 1003844929 |
|---|---|
| Provider Name | Mr. Brian Vernon Nelson |
| First Address | Wayzata, MN 55391-9718 |
| Second Address | Wayzata, MN 55391-9718 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2006 |
| Last Update Date | 07/08/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 224750000 | (05) | MN |
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.