Individual
CAROLYN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 629-7486
Mailing address
1205 CHERRY CT, BURNSVILLE, MN 55306-6197
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
08/19/2013
Last updated
04/10/2014
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