Individual
DR. KEITH JOHN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
110 8TH ST., TROY, NY 12180
(518) 276-6479
Mailing address
320A ELSMERE AVE, DELMAR, NY 12054-9702
(518) 439-1101
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
0130081
NY
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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