Individual
DR. MICHELLE E ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2744 W 63RD ST, BEHAVIOR HEALTH, CHICAGO, IL 60629-2343
(773) 434-4626
Mailing address
2744 W 63RD ST, BEHAVIOR HEALTH, CHICAGO, IL 60629-2343
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301013422
MI
103TC0700X
Clinical Psychologist
Primary
071.008722
IL
Other
Enumeration date
07/19/2007
Last updated
05/29/2015
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