Individual
DR. DOUGLAS LAMONT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3000 W CECIL AVE, DELANO, CA 93215-1821
(661) 721-6300
Mailing address
3000 W CECIL AVE, DELANO, CA 93215-1821
(661) 721-6300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PSY25761
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25761
CALIFORNIA STATE PSYCHOLOGIST LICENSE
CA
01
—
PSY25761
CALIFORNIA PSYCHOLOGIST STATE LICENSE
CA
Enumeration date
04/25/2007
Last updated
06/14/2022
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