Organization
REBECCA ANDERSON PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA G ANDERSON (PSYCHOLOGIST)
(239) 351-5979
Entity
Organization
Contact information
Practice address
9210 ESTERO PARK COMMONS BLVD STE 7, ESTERO, FL 33928-6395
(239) 351-5979
(259) 495-7772
Mailing address
2197 PINE WOODS CIR, NAPLES, FL 34105-2543
(413) 246-5499
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538104302
NPI - TYPE 1
—
Enumeration date
01/20/2021
Last updated
04/27/2024
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