Individual
DR. DANIEL A. ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1530 BOISE AVE STE 103, LOVELAND, CO 80538-4240
(970) 663-5733
(970) 663-5733
Mailing address
1530 BOISE AVE STE 103, LOVELAND, CO 80538-4240
(970) 663-5733
(970) 663-5733
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1645
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07016454
—
CO
Enumeration date
04/10/2007
Last updated
07/09/2007
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