Individual
DR. RICHARD M ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
21 WINDSOR ON THE MARSH, SAVANNAH, GA 31419-2409
(912) 921-0464
(912) 921-0464
Mailing address
21 WINDSOR ON THE MARSH, SAVANNAH, GA 31419-2409
(912) 921-0464
(912) 921-0464
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSY000533
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00144988A
—
GA
Enumeration date
08/30/2012
Last updated
08/30/2012
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