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Contact Information

BRUCE G ANDERSON, CLINICAL PSYCHOLOGY
200 EAST ST
LYCOMING CLINTON JOINDER BOARD
WILLIAMSPORT, PA17701
 Phone: 570-326-9895
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BRUCE G ANDERSON · (Male)

NPI # 1235275827
Status Active
Credentials CLINICAL PSYCHOLOGY
Entity Individual
Enumeration date 01/30/2007
Last updated 04/29/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • PA License # PS004649L
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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