Individual
JAMES ALLEN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
5636 LOGAN AVE S, MINNEAPOLIS, MN 55419-1512
(612) 226-8324
Mailing address
5636 LOGAN AVE S, MINNEAPOLIS, MN 55419-1512
(612) 226-8324
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
LP4117
MN
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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