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DR. MALCOLM EDGAR ANDERSON PH.D.

>> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1184839193

Individual Registrant:
DR. MALCOLM EDGAR ANDERSON PH.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
3355 MEDLOCK BRIDGE RD  NORCROSS, GA 30092-3009 US
Tel: 770-582-0532  Fax: --

Contact information for business:
3355 MEDLOCK BRIDGE RD  NORCROSS, GA 30092-3009 US
Tel: 770-582-0532  Fax: --

Registration Information:
NPI: 1184839193
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
GAPSY002450

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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