Individual
JAMES B. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Contact information
Practice address
2810 NICOLLET AVE, MINNEAPOLIS, MN 55408-4708
(612) 873-6963
Mailing address
2810 NICOLLET AVE, MINNEAPOLIS, MN 55408-4708
(612) 873-6963
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5652
MN
103TC0700X
Clinical Psychologist
9594
MA
Other
Enumeration date
10/11/2012
Last updated
09/27/2013
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