Adam Anderson, Phd, Clinical Psychologist, Llc | |
11 Civic Center Plz Ste 201 Mankato MN 56001-7718 | |
(507) 340-2011 | |
Not Available |
Full Name | Adam Anderson, Phd, Clinical Psychologist, Llc |
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Speciality | Psychologist - Clinical |
Location | 11 Civic Center Plz Ste 201, Mankato, Minnesota |
Authorized Official Name and Position | Adam Scott Anderson (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 5073402011 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Adam Anderson, Phd, Clinical Psychologist, Llc 50 Canterbury Ct Mankato MN 56001-8988 Ph: (507) 340-2011 | Adam Anderson, Phd, Clinical Psychologist, Llc 11 Civic Center Plz Ste 201 Mankato MN 56001-7718 Ph: (507) 340-2011 |
NPI Number | 1417365057 |
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Provider Enumeration Date | 07/28/2014 |
Last Update Date | 07/28/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417365057 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (Minnesota) | Primary |
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