Individual
DR. MARK BRIAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
29260 FRANKLIN RD, STE 110, SOUTHFIELD, MI 48034-1196
(248) 722-1652
(248) 485-6798
Mailing address
29260 FRANKLIN RD, STE 110, SOUTHFIELD, MI 48034-1196
(248) 722-1652
(248) 485-6798
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301011646
MI
Other
Enumeration date
01/23/2007
Last updated
11/06/2017
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