Individual
DR. KEVIN EDWARD ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4609 GLENDALE AVE, TOLEDO, OH 43614-1910
(419) 861-2269
Mailing address
PO BOX 74, MONCLOVA, OH 43542-0074
(419) 861-2269
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
4463
OH
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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