Organization
GTA CONSULTANTS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY T ANDERSON PHD (CLINICAL PSYCHOLOGIST)
(631) 331-8765
Entity
Organization
Contact information
Practice address
4 WALNUT STREET, CORAM, NY 11727
(631) 331-8765
(631) 331-8765
Mailing address
4 WALNUT STREET, CORAM, NY 11727
(631) 331-8765
(631) 331-8765
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
010939
NY
Other
Enumeration date
11/08/2006
Last updated
03/18/2010
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