Individual
DR. WENDE J ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1825 RIVERVIEW DR, MELBOURNE, FL 32901-4711
(321) 541-1250
(321) 951-1928
Mailing address
200 N PALM AVE UNIT 33850, INDIALANTIC, FL 32903-5034
(321) 541-1250
(321) 951-1928
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY7426
FL
103TC0700X
Clinical Psychologist
Primary
PY7426
FL
103TF0200X
Forensic Psychologist
0810007012
VA
103TH0100X
Health Service Psychologist
PY7426
FL
Other
Enumeration date
11/28/2006
Last updated
02/26/2023
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