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Contact Information

GERA ANDERSON
3425 COFFEE RD STE A2
MODESTO, CA95355-1582
 Phone: 209-491-7507
 Fax: 209-491-7584
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
 

Health Service

103TH0100X 62 Psychologist, Clinical
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for GERA ANDERSON · (Female)

NPI # 1679824668
Status Active
Credentials
Entity Individual
Enumeration date 10/01/2012
Last updated 10/31/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # PSY31644
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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