Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRADLEY ROBERT NELSON, MALP
ActiveMR. BRADLEY ROBERT NELSON, MALP is a Cognitive & Behavioral Psychologist healthcare provider located in GRAND RAPIDS, Minnesota. NPI 1902822919 is currently active in the NPPES registry. Verify at CMS.
Cognitive & Behavioral Psychologist · GRAND RAPIDS, MN
Registration Details
- NPI Number
- 1902822919
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2006 (20.096115919011 yrs)
- Last Updated
- Jan 31, 2024
- License
-
LP0590 (MN)
Practice Information
- Address
-
215 SE 2ND AVEGRAND RAPIDS, MN, 557443615Browse MN providers · Browse ZIP 55744
- Phone
- 2183261274
- Fax
- 2183269787
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
- Additional Specialty
- Child, Clinical Psychologist
- Additional Specialty
- Cognitive & Behavioral Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.