| Andrea Anderson Psyd Lp Llc | |
|
4660 Slater Rd Ste 245-c Eagan MN 55122-4047 | |
| (612) 963-7027 | |
| Not Available |
| Full Name | Andrea Anderson Psyd Lp Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4660 Slater Rd Ste 245-c, Eagan, Minnesota |
| Authorized Official Name and Position | Andrea Anderson (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6129637027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Anderson Psyd Lp Llc 1826 Walnut Ln Eagan MN 55122-2434 Ph: (612) 963-7027 | Andrea Anderson Psyd Lp Llc 4660 Slater Rd Ste 245-c Eagan MN 55122-4047 Ph: (612) 963-7027 |
| NPI Number | 1720593841 |
|---|---|
| Provider Enumeration Date | 12/12/2017 |
| Last Update Date | 12/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720593841 | NPI | - | NPPES |
| 1659604874 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP5161 (Minnesota) | Primary |
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