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Individual

DR. GAIL M. ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD ABPP

Contact information

Practice address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
(904) 345-7310
(904) 345-7240
Mailing address
1401 RIVERPLACE BLVD APT 1810, JACKSONVILLE, FL 32207-9098
(971) 235-9028

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
Primary
PY11004
FL
103TH0100X
Health Service Psychologist
6301017240
MI

Other

Enumeration date
10/01/2014
Last updated
07/12/2021
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