MEDICARE: DR. SCOTT MICHAEL NELSON PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	32145	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164414033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT MICHAEL NELSON PH.D.

Provider Business Mailing Address
First Line	:	6330 LBJ FWY
Second Line	:	SUITE 150
City	:	DALLAS
State	:	TX
Zip	:	75240-6467
Country	:	US
Telephone Number	:	972-233-6301
Fax Number	:	972-991-8966

Provider Business Practice Location Address
First Line	:	6330 LBJ FWY
Second Line	:	SUITE 150
City	:	DALLAS
State	:	TX
Zip	:	75240-6467
Country	:	US
Telephone Number	:	972-233-6301
Fax Number	:	972-991-8966

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1558306852 — DR. SUSAN B REBILLET PHD
Practice Location Address:

6330 LYNDON B JOHNSON FWY , SUITE 234
DALLAS, TX
75240-6467

Practice Phone: 214-789-4027
Practice Fax:

1013941442 — DR. PETER D. COHN M.D.
Practice Location Address:

6330 LBJ FWY , 235
DALLAS, TX
75240-6467

Practice Phone: 214-750-6711
Practice Fax: 214-594-9014

1346464245 — DR. MYRNA MARIE LITTLE PH.D.
Practice Location Address:

6330 LYNDON B JOHNSON FWY , SUITE 150
DALLAS, TX
75240-6467

Practice Phone: 972-233-0647
Practice Fax: 972-991-8966

1972728038 — MELISSA BLACK PH.D.
Practice Location Address:

6330 LYNDON B JOHNSON FWY , SUITE 150
DALLAS, TX
75240-6467

Practice Phone: 972-991-8855
Practice Fax: 972-991-8966

1164630554 — MS. JANE SHOOK MS CCC SLP
Practice Location Address:

6330 LYNDON B JOHNSON FWY , SUITE 136
DALLAS, TX
75240-6467

Practice Phone: 972-233-9019
Practice Fax:

1609055573 — DR. GRETCHEN LADD PH.D.
Practice Location Address:

6330 LBJ FWY , SUITE 234
DALLAS, TX
75240-6467

Practice Phone: 214-987-9099
Practice Fax:

Directions to “ DR. SCOTT MICHAEL NELSON PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.