Organization
SYDNEY F ANDERSON PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNEY F ANDERSON PHD (OWNER)
(812) 331-2800
Entity
Organization
Contact information
Practice address
637 N COLLEGE AVE, BLOOMINGTON, IN 47404-3871
(812) 331-2800
Mailing address
637 N COLLEGE AVE, BLOOMINGTON, IN 47404-3871
(812) 331-2800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040198A
IN
103TC0700X
Clinical Psychologist
20040198A
IN
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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