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NPI Profile for Dr JASON A ANDERSEN in DECATUR, GA.
A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
103TF0000X | 62 | Psychologist, Clinical | |
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Clinical Child & Adolescent |
103TC2200X | 62 | Psychologist, Clinical |
| NPI Number | 1740516731 |
|
| Status | Active | |
| Credentials | PSY.D | |
| Entity | Individual | |
| Enumeration date | 10/26/2009 | |
| Last updated | 10/26/2009 - About 17 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JASON A ANDERSEN
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JASON A ANDERSEN, PSY.D