Individual
MATTHEW STEVEN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
456 MOHICAN LN, SHREVEPORT, LA 71106-8317
(318) 294-7382
Mailing address
456 MOHICAN LN, SHREVEPORT, LA 71106-8317
(318) 294-7382
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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