Anderson Rowan, PHD | |
338 S Dakota Ave, Vandenberg Afb, CA 93437-6307 | |
(805) 606-8217 | |
(805) 606-4390 |
Full Name | Anderson Rowan |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 338 S Dakota Ave, Vandenberg Afb, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356377527 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 752 (Alabama) | Primary |
Entity Name | Drlullaby Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063128635 PECOS PAC ID: 9931507290 Enrollment ID: O20230323002675 |
Mailing Address | Practice Location Address |
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Anderson Rowan, PHD 338 S Dakota Ave, Vandenberg Afb, CA 93437-6307 Ph: () - | Anderson Rowan, PHD 338 S Dakota Ave, Vandenberg Afb, CA 93437-6307 Ph: (805) 606-8217 |
Dr. Jared Alan Detter, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 338 S Dakota Ave, Vandenberg Afb, CA 93437 Phone: 805-606-8217 | |
Dr. Brandon William Maynard, PSYD, MA Psychologist Medicare: Medicare Enrolled Practice Location: 338 S Dakota Ave, Vandenberg Afb, CA 93437 Phone: 805-606-8217 | |
Dr. Jennifer H Harris, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 338 S Dakota Ave, Vandenberg Afb, CA 93437 Phone: 805-606-6117 |