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Mckenna Elizabeth Anderson, PPS

Psychologist, School in San Jose, CA. Individual provider (NPI-1).

NPI number1841921574
StatusActive
Last updated in NPPESSep 10, 2026

Details

NPI
1841921574
Entity type
Individual (NPI-1)
Name
Mckenna Elizabeth Anderson
Credential
PPS
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 22, 2022
Certification date
Sep 10, 2026
Last updated
Sep 10, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TS0200X Psychologist, School260161724CAYes

Practice location

3235 Union Ave
San Jose, CA 95124-2009

Phone 408-371-0960

Mailing address

3235 Union Ave
San Jose, CA 95124-2009

Phone 408-371-0960 · Fax 619-374-7134

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