Individual
SHANNEN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
386 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 679-5222
(508) 673-3182
Mailing address
951 NORTHVIEW DR, SANFORD, NC 27332-1701
(760) 883-0565
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
0810008539
VA
Other
Enumeration date
08/19/2020
Last updated
12/10/2024
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