| Courtney Anderson, Psyd, Llc | |
|
103 Maple Ave Ste 102 Red Bank NJ 07701-1715 | |
| (732) 610-4953 | |
| Not Available |
| Full Name | Courtney Anderson, Psyd, Llc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 103 Maple Ave Ste 102, Red Bank, New Jersey |
| Authorized Official Name and Position | Courtney Anderson (MANAGING MEMBER) |
| Authorized Official Contact | 9089025918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Anderson, Psyd, Llc 103 Maple Ave Ste 102 Red Bank NJ 07701-1715 Ph: (732) 261-0196 | Courtney Anderson, Psyd, Llc 103 Maple Ave Ste 102 Red Bank NJ 07701-1715 Ph: (732) 610-4953 |
| NPI Number | 1467949735 |
|---|---|
| Provider Enumeration Date | 04/22/2018 |
| Last Update Date | 12/31/2021 |
| Certification Date | 12/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467949735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 35SI00592700 (New Jersey) | Primary |
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