Organization
LARRY ANDERSON PSYD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY L ANDERSON PSYD (OWNER)
(612) 718-0894
Entity
Organization
Contact information
Practice address
2124 DUPONT AVE S STE 202, MINNEAPOLIS, MN 55405-2719
(612) 718-0894
(612) 879-0059
Mailing address
2307 CLEVELAND ST NE, MINNEAPOLIS, MN 55418-4020
(612) 718-0894
(612) 879-0059
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4461
MN
Other
Enumeration date
04/03/2018
Last updated
06/01/2020
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