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Contact Information

MALCOLM E ANDERSON, PhD
3355 MEDLOCK BRIDGE RD
NORCROSS, GA30092-3009
 Phone: 770-582-0532
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MALCOLM E ANDERSON · (Male)

NPI # 1184839193
Status Active
Credentials PhD
Entity Individual
Enumeration date 05/12/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # PSY002450
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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