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Individual

DR. THOMAS LEE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
10000 HAMPTON PARKWAY, OFFICE OF THE COMMAND PSYCHOLOGIST, FT. JACKSON, SC 20207
(803) 751-8794
Mailing address
10000 HAMPTON PARKWAY, OFFICE OF THE COMMAND PSYCHOLOGIST, FT. JACKSON, SC 20207
(803) 751-8794

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
386
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PS0298
SC
Enumeration date
02/27/2006
Last updated
06/10/2013
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