Individual
DR. CAROL INEZ ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4001 CALIFORNIA 104, IONE, CA 95640
(510) 393-4477
(209) 665-4029
Mailing address
PO BOX 409099, IONE, CA 95640-9099
(510) 393-4477
(209) 665-4029
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY21097
CA
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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