Individual
DR. LOUIS P. ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
120 MICHAEL CT, FAYETTEVILLE, GA 30215-1846
(404) 405-0671
Mailing address
130 RISING MIST DRIVE, FAYETTEVILLE, GA 30215-1846
(770) 306-6608
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
34022
TX
103TC0700X
Clinical Psychologist
45-727
MS
103TC0700X
Clinical Psychologist
Primary
PSY001114
GA
Other
Enumeration date
03/27/2009
Last updated
10/16/2015
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