Individual
BRUCE G ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CLINICAL PSYCHOLOGY
Contact information
Practice address
200 EAST ST, LYCOMING CLINTON JOINDER BOARD, WILLIAMSPORT, PA 17701
(570) 326-9895
Mailing address
200 EAST ST, LYCOMING CLINTON JOINDER BOARD, WILLIAMSPORT, PA 17701
(570) 326-9895
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS004649L
PA
Other
Enumeration date
01/30/2007
Last updated
04/29/2013
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