Individual
DR. BROOKE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
6 E DIAMOND LAKE RD, MINNEAPOLIS, MN 55419-1923
(612) 567-6674
(612) 814-0668
Mailing address
6 E DIAMOND LAKE RD, MINNEAPOLIS, MN 55419-1923
(612) 567-6674
(612) 814-0668
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5797
MN
Other
Enumeration date
03/13/2012
Last updated
02/07/2017
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