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DR. NICOLE E. ANDERSON PH.D.
School >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1083806137
Individual Registrant:DR. NICOLE E. ANDERSON PH.D.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
11279 W GRIER RD MARANA, AZ 85653-9609 US
Tel: 520-682-4782 Fax: --
Tel: 520-682-4782 Fax: --
Contact information for business:
6984 W AVONDALE PL TUCSON, AZ 85743-1408 US
Tel: 520-250-1833 Fax: --
Tel: 520-250-1833 Fax: --
Registration Information:
NPI: 1083806137
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103TS0200X | Behavioral Health & Social Service Providers Psychologist School |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
