Individual
DR. GREG ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.
Contact information
Practice address
410 JOHNSON PKWY, HAMMOND, WI 54015-9678
(715) 497-7230
(715) 600-9023
Mailing address
410 JOHNSON PKWY, HAMMOND, WI 54015-9678
(715) 497-7230
(715) 600-9023
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3349-57
WI
103T00000X
Psychologist
LP5932
MN
Other
Enumeration date
10/21/2015
Last updated
05/19/2021
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