Individual
REBECCA G ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9 COLLEGE ST, SUITE 6, SOUTH HADLEY, MA 01075-1421
(413) 534-7400
(413) 534-7483
Mailing address
9 COLLEGE ST, SUITE 6, SOUTH HADLEY, MA 01075-1421
(413) 534-7400
(413) 534-7483
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8209
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
494695
TUFTS HEALTH PLAN
MA
01
—
WO6335
BLUE SHIELD
MA
Enumeration date
06/17/2006
Last updated
09/27/2007
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