Individual
DR. VICKY LYN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
45 SOUTH STREET MAILMUN HOUSE, BRANDEIS UNIVERSITY PSYCHOLOGICAL COUNSELING CENTER, WALTHAM, MA 02453
(781) 736-3730
Mailing address
41 WASHINGTON STREET, DUXBURY, MA 02332
(508) 330-0981
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6080
MA
103TH0100X
Health Service Psychologist
6080
MA
103TS0200X
School Psychologist
148854
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W04898
BCBS OF MA
MA
Enumeration date
04/23/2008
Last updated
04/23/2008
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