Ronald J Nelson, ED.D.
Individual provider Active NPI School Psychologist · Willcox, AZ
NPI 1104977990 · NPPES record last updated Jul 26, 2007
Key facts
- NPI
- 1104977990
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- Practice address
- 480 N. Bisbee Ave
Willcox, AZ 85643 - Phone
- (520) 384-4211
- Fax
- (520) 868-5254
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willcox Unified School District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | AZ | Yes |
Addresses
Primary practice location
480 N. Bisbee Ave
Willcox, AZ 85643
Mailing address
PO Box 2965
Florence, AZ 85232-2965
Phone (520) 868-5254
Other providers in Willcox, AZ
- Legacy Home Health Care
- Anthony Llewellyn
- Dominic Roberto Martinez
- Darci McInnes
- Mark A. McManigle
- Brad Nielson
- Northern Cochise Community Hospital
- Northern Cochise Community Hospital Inc
- Northern Cochise Community Hospital Inc
- Northern Cochise Community Hospital Inc
All providers in Willcox, AZ · School Psychologist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.