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Individual

DR. LYLE STANLEY ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1660 S COLUMBIAN WAY, 116 MHC, SEATTLE, WA 98108-1532
(206) 277-3267
(206) 764-2572
Mailing address
1660 S COLUMBIAN WAY, 116 MHC, SEATTLE, WA 98108-1532
(206) 277-3267
(206) 764-2572

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 00000522
WA

Other

Enumeration date
09/02/2006
Last updated
07/08/2007
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