Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICOLE PHOENIX ANDERSON, PHD
Active Sole ProprietorDR. NICOLE PHOENIX ANDERSON, PHD is a Clinical Psychologist healthcare provider located in LOS RANCHOS, New Mexico. NPI 1730126343 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · LOS RANCHOS, NM
Registration Details
- NPI Number
- 1730126343
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 1, 2006 (20.163320349808 yrs)
- Last Updated
- Jun 20, 2014
- License
-
0976 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6501 4TH ST NWF4LOS RANCHOS, NM, 871075800Browse NM providers · Browse ZIP 87107
- Phone
- 5053449641
- Fax
- 5053442621
- 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.