Jacqueline R Anderson, PHD, NCSP, LP
NPI #1386137016 in Broomfield, Colorado
Provider Information
- NPI Number
- 1386137016
- Entity Type
- Individual
- Name
- Jacqueline R Anderson, PHD, NCSP, LP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist
- Credential
- PHD, NCSP, LP
- Enumeration Date
- Jun 7, 2018
- Last Updated
- Jul 31, 2024
Practice Location
- Address
- 12303 AIRPORT WAY STE 125
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80021-2729
- Phone
- (970) 310-3406
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - School — School |
| Psychologist |
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