Individual
DR. RANDA MARY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5101 WASHINGTON ST STE 1102, GURNEE, IL 60031-2988
(847) 650-3952
Mailing address
5101 WASHINGTON ST STE 1102, GURNEE, IL 60031-2988
(847) 650-3952
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005722
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
342742
MHN
IL
01
—
7876053
AETNA
IL
Enumeration date
09/26/2006
Last updated
03/20/2018
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