Individual
GERA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3425 COFFEE RD STE A2, MODESTO, CA 95355-1582
(209) 491-7507
(209) 491-7584
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY31644
CA
103TC0700X
Clinical Psychologist
Primary
PSY31644
CA
103TH0100X
Health Service Psychologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/01/2012
Last updated
10/31/2024
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