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Contact Information

ANDREA ANDERSON PSYD LP LLC
4660 SLATER RD STE 245-C
EAGAN, MN55122-4047
 Phone: 612-963-7027
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ANDREA ANDERSON PSYD LP LLC · (Female)

NPI # 1720593841
Status Active
Credentials
Entity Individual
Enumeration date 12/12/2017
Last updated 12/12/2017 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # LP5161
  • MN Medicaid 1659604874
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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