Individual
OSCAR ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1157 W LUNT AVE APT 257, CHICAGO, IL 60626-3533
(502) 681-2570
Mailing address
1157 W LUNT AVE APT 257, CHICAGO, IL 60626-3533
(502) 681-2570
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043850A
IN
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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