Individual
DR. JUDITH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
675 N 36TH ST, LAFAYETTE, IN 47905-4475
(765) 447-7146
(765) 447-4932
Mailing address
675 N 36TH ST, LAFAYETTE, IN 47905-4475
(765) 447-7146
(765) 447-4932
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20010444
IN
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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