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Individual
DR. NICHOLAS ANDERSON
Active
Individual
DR. NICHOLAS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
27474
CA
103TB0200X
Cognitive & Behavioral Psychologist
27474
CA
103TC0700X
Clinical Psychologist
Primary
27474
CA
103TC2200X
Clinical Child & Adolescent Psychologist
27474
CA
103TH0004X
Health Psychologist
27474
CA
103TH0100X
Health Service Psychologist
27474
CA
103TP2701X
Group Psychotherapy Psychologist
27474
CA
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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