Individual
DR. CLYDE WAYNE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3424 MONITOR LN, TALLAHASSEE, FL 32312-1516
(850) 556-6974
Mailing address
3424 MONITOR LN, TALLAHASSEE, FL 32312-1516
(850) 556-6974
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6257
FL
Other
Enumeration date
10/16/2007
Last updated
09/29/2013
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