Individual
MR. BRUCE RAY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLP
Contact information
Practice address
4925 PACKARD ST, ANN ARBOR, MI 48108-1521
(734) 971-9781
Mailing address
4925 PACKARD ST, ANN ARBOR, MI 48108-1521
(734) 971-9781
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301006766
MI
Other
Enumeration date
07/29/2010
Last updated
11/21/2023
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