Most Relevant Information
Provider Data
| NPI Number: | 1003364928 |
| Provider Name: | DEREK RYAN ANDERSON PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | PY 60645671 |
Most Important Dates
| Enumeration Date: | 09/20/2016 |
| Last Updated: | 09/20/2016 |
Provider Practice Location
9600 VETERANS DR SW
REHABILITATION CARE SERVICE (A-117-RCS)
TACOMA
WA
984930003
Practice Location Phone/Fax
| Phone: | 2535831896 |
| Fax: |
Provider Mailing Location
9600 VETERANS DR SW
REHABILITATION CARE SERVICE (A-117-RCS)
TACOMA
WA
984930003
Provider Mailing Phone/Fax
| Phone: | 2535831896 |
| Fax: |