Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THOMAS RANDALL ANDERSON, PSYD
Active Sole ProprietorTHOMAS RANDALL ANDERSON, PSYD is a Clinical Psychologist healthcare provider located in CRESTVIEW, Florida. NPI 1518970169 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · CRESTVIEW, FL
Registration Details
- NPI Number
- 1518970169
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 14, 2006 (19.984238505683 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PY6519 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
103 RUBY LNCRESTVIEW, FL, 325397341Browse FL providers · Browse ZIP 32539
- Phone
- 8506821903
- Fax
- 8506828689
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.