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NPI Code Detail

MEDICARE: MR. DENNIS B. NELSON LCSW

MEDICARE: MR. DENNIS B. NELSON LCSW
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
1101Y00000XCounselor11389TX

General Provider Information

NPI Number : 1013148279
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DENNIS B. NELSON LCSW
Provider Business Mailing Address
First Line : 4614 N IH 35
Second Line :
City : AUSTIN
State : TX
Zip : 78751-3401
Country : US
Telephone Number : 512-978-9100
Fax Number : 512-978-9140
Provider Business Practice Location Address
First Line : 4614 N IH 35
Second Line :
City : AUSTIN
State : TX
Zip : 78751-3401
Country : US
Telephone Number : 512-978-9100
Fax Number : 512-978-9140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2009
Last Update Date : 08/05/2009

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Directions to “ MR. DENNIS B. NELSON LCSW” Practice Location

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