| Doctor Name: | DR. ANDREW NELSON |
| NPI Number: | 1043696362 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | P98196 |
| Business Practice Address: | 150 Stahl Rd Getzville, NY - 140681231 |
| Business Phone Number: | 7166293447 |
| Business Fax Number: | 7166293494 |
| Mailing Address: | 150 Stahl Rd, GETZVILLE |
| State: | NY |
| Postal Code: | 140681231 |
| Phone Number: | 7166293447 |
| Fax Number: | 7166293494 |
| NPI Enumeration Date: | 08/10/2015 |
| NPI Last Update Date: | 08/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | P98196 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |