Individual
JOHN R ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4313 W MARKHAM ST, LITTLE ROCK, AR 72205-4023
(501) 686-9406
(501) 686-9276
Mailing address
4313 W MARKHAM ST, LITTLE ROCK, AR 72205-4023
(501) 686-9406
(501) 686-9276
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7916P
AR
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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