Individual
DR. KEITH J ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
152 PIONEER LN STE H, BISHOP, CA 93514-2563
(760) 873-6712
(760) 873-6712
Mailing address
PO BOX 873, BISHOP, CA 93515-0873
(760) 873-6712
(760) 873-6712
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
14114
CA
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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