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DR. EVAN JOSEPH ANDERSON PHD

Clinical Child & Adolescent >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1134765159

Individual Registrant:
DR. EVAN JOSEPH ANDERSON PHD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1201 BURLEYSON RD  DALTON, GA 30720-3028 US
Tel: 706-226-8900  Fax: --

Contact information for business:
1201 BURLEYSON RD  DALTON, GA 30720 US
Tel: --  Fax: --

Registration Information:
NPI: 1134765159
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC2200XBehavioral Health & Social Service Providers
Psychologist
Clinical Child & Adolescent
GAPS-P00257

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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