Individual
DR. LARRY L ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2124 DUPONT AVE S STE 202, MINNEAPOLIS, MN 55405-2700
(612) 718-0894
(612) 879-0059
Mailing address
2124 DUPONT AVE S STE 202, MINNEAPOLIS, MN 55405-2700
(612) 718-0894
(612) 879-0059
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4461
MN
Other
Enumeration date
02/16/2007
Last updated
08/11/2010
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