Organization
THOMAS ANDERSON PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS C ANDERSON PHD (MANAGING MEMBER)
(773) 322-7174
Entity
Organization
Contact information
Practice address
3831 N WAYNE AVE, CHICAGO, IL 60613-2809
(773) 322-7174
Mailing address
3831 N WAYNE AVE, CHICAGO, IL 60613-2809
(773) 322-7174
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
05/01/2020
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