Individual
MR. LYNN MICHAEL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
309 N GEORGE ST, MILLERSVILLE, PA 17551-1523
(717) 940-6820
(717) 295-7127
Mailing address
309 N GEORGE ST, MILLERSVILLE, PA 17551-1523
(717) 940-6820
(717) 295-7127
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS003743L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01502820
—
PA
Enumeration date
04/18/2007
Last updated
03/21/2014
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