DR. Nicole Phoenix Anderson, PHD

NPI #1730126343 in Los Ranchos, New Mexico

Provider Information

NPI Number: 1730126343
Entity Type: Individual
Name: DR. Nicole Phoenix Anderson, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Jun 1, 2006
Last Updated: Jun 20, 2014

Practice Location

Address: 6501 4TH ST NW
Address 2: F4
City: Los Ranchos
State: New Mexico
ZIP Code: 87107-5800
Phone: (505) 344-9641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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