Individual
NORMAN STILLWELL ANDERSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4403 HARRISON BLVD, OGDEN, UT 84403-3271
(801) 387-5317
(801) 387-5334
Mailing address
4403 HARRISON BLVD, SUITE A-700, OGDEN, UT 84403-3271
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
963173882501
UT
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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