Provider Demographics
NPI:1437403789
Name:NELSON, ARVALEA JANE (PHD PSYCHOLOGIST)
Entity type:Individual
Prefix:DR
First Name:ARVALEA
Middle Name:JANE
Last Name:NELSON
Suffix:
Gender:F
Credentials:PHD PSYCHOLOGIST
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1164 SOLANO AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ALBANY
Mailing Address - State:CA
Mailing Address - Zip Code:94706-1639
Mailing Address - Country:US
Mailing Address - Phone:510-504-0663
Mailing Address - Fax:510-230-4462
Practice Address - Street 1:1164 SOLANO AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:ALBANY
Practice Address - State:CA
Practice Address - Zip Code:94706-1639
Practice Address - Country:US
Practice Address - Phone:510-504-0663
Practice Address - Fax:510-230-4462
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-07
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPSY10253103TC0700X, 103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPSY10253OtherCA PSYCHOLOGIST LICENSE