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Individual

DR. JILL MARIE ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
3701 W RADCLIFF AVE, DENVER, CO 80236-3645
(888) 948-6789
(877) 345-3501
Mailing address
1 KALISA WAY STE 101, PARAMUS, NJ 07652-3508
(888) 948-6789
(877) 345-3501

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1901
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07190101
CO
01
PSY.0001901
PROFESSIONAL LICENSE
CO
Enumeration date
11/15/2006
Last updated
07/28/2022
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