Individual
DR. DEBORAH LYNNE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D, LP
Contact information
Practice address
15 GROVELAND TER, SUITE 302, MINNEAPOLIS, MN 55403-1154
(612) 374-2400
(612) 374-2401
Mailing address
15 GROVELAND TER, SUITE 302, MINNEAPOLIS, MN 55403-1154
(612) 374-2400
(612) 374-2401
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP4563
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119099
HEALTH PARTNERS
MN
01
—
34008AN
BLUE CROSS BLUE SHIELD
MN
01
—
61-90438
MEDICA
MN
01
—
7903877
AETNA
MN
Enumeration date
10/19/2006
Last updated
07/08/2007
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