Dr. Deborah Louisa Anderson, Ph.D.
Psychologist, Clinical in Charlotte, NC. Individual provider (NPI-1).
NPI number1396708863
StatusActive
Last updated in NPPESJul 20, 2012
Details
- NPI
- 1396708863
- Entity type
- Individual (NPI-1)
- Name
- Dr. Deborah Louisa Anderson
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2006
- Last updated
- Jul 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 4119 | NC | Yes |
| 103TC0700X | Psychologist, Clinical | 628 | SC |
Practice location
1100 Blythe BlvdCharlotte, NC 28203-5814
Phone 704-355-7776 · Fax 704-355-4231
Mailing address
1100 Blythe BlvdCharlotte, NC 28203-5814
Phone 704-355-7776 · Fax 704-355-4231
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