Individual
DR. ANDREA ELIZABETH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2383 UNIVERSITY AVE W STE 200, U.S. BANK BUILDING, SECOND FLOOR, SAINT PAUL, MN 55114-1603
(651) 644-4100
(651) 644-4885
Mailing address
2383 UNIVERSITY AVE W STE 200, U.S. BANK BUILDING, SECOND FLOOR, SAINT PAUL, MN 55114-1603
(651) 644-4100
(651) 644-4885
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PENDING
MN
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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