Carol Roberta Anderson PH.D.

NPI 1821412974 - Psychologist - 103TC0700X

NPI Details
NPI 1821412974
Gender Female
Enumeration Date 02/10/2014
Last Updated 02/10/2014
Entity Type Individual
Active Over 3 years ago
Practice Location
23500 KASSON RD.,
TRACY CA, 95378-0400, US
Phone (209) 835-4141
Fax (209) 830-3974
Business Location
PO BOX 400
TRACY CA, 95378-0400, US
Phone (209) 835-4141
Fax (209) 830-3974
Toxanomy
Taxonomy Code 103TC0700X
License State California
License Number PSY20604
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According to our database, Dr. Carol Roberta Anderson PH.D. NPI is 1821412974, taxonomy code is 103TC0700X and license number is PSY20604, license state is located at California. Carol Roberta Anderson PH.D. physically located at 23500 Kasson Rd.,, Tracy CA, 95378-0400. NPI Number Carol Roberta Anderson PH.D. has the Individual type.

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1821412974 NPI number is provided on an as is basis without warranty of any kind. 1821412974 is maintained by the National Plan & Provider Enumeration System. The contents of Carol Roberta Anderson PH.D. are for informational purposes only.