Individual
DR. CARLIN M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D, LP
Contact information
Practice address
3525 MONTEREY DR, ST LOUIS PARK, MN 55416-5275
(952) 993-6200
Mailing address
1832 LINCOLN AVE, SAINT PAUL, MN 55105-1419
(206) 948-9118
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP-5200
MN
103TE1100X
Exercise & Sports Psychologist
LP-5200
MN
Other
Enumeration date
08/20/2008
Last updated
11/04/2010
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