Individual
DEREK RYAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9600 VETERANS DR SW, REHABILITATION CARE SERVICE (A-117-RCS), TACOMA, WA 98493-0003
(253) 583-1896
Mailing address
9600 VETERANS DR SW, REHABILITATION CARE SERVICE (A-117-RCS), TACOMA, WA 98493-0003
(253) 583-1896
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 60645671
WA
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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