Organization
MARK E. ANDERSON FAMILY LTD
Active
Organization
MARK E. ANDERSON FAMILY LTD
Active
Other names
Mark E. Anderson, M.A., LP, LMFT
Organization subpart
No
Provider details
NPI number
Authorized official
MARK E ANDERSON MA, LP, LMFT (CLINICAL PSYCHOLOGIST)
(651) 482-9361
Entity
Organization
Contact information
Practice address
900 LONG LAKE RD STE 320, NEW BRIGHTON, MN 55112-6439
(651) 482-9361
(651) 482-9888
Mailing address
900 LONG LAKE RD STE 320, NEW BRIGHTON, MN 55112-6439
(651) 482-9361
(651) 482-9888
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3081
MN
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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