NPI Search for Physicians and Health Care Providers
DR. KEITH J ANDERSEN PH.D.
Cognitive & Behavioral >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1275558694
Individual Registrant:
DR. KEITH J ANDERSEN PH.D.
Gender: M
Sole Proprietor
Location and contact information for practice:
152 PIONEER LN STE H BISHOP, CA 93514-2563 US
Tel: 760-873-6712 Fax: 760-873-6712
Contact information for business:
PO BOX 873 BISHOP, CA 93515-0873 US
Tel: 760-873-6712 Fax: 760-873-6712
Registration Information:
NPI: 1275558694
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 103TB0200X | Behavioral Health & Social Service Providers Psychologist Cognitive & Behavioral | CA | 14114 |
Legacy codes, insurance codes and state license numbers:
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