ANDREA ANDERSON PSYD LP LLC
NPI 1720593841
Psychologist - Clinical in Eagan, MN

Active since December 12, 2017
4660 SLATER RD STE 245-C, EAGAN, MN 55122(612) 963-7027 Get Directions Write a Review

NPPES record last updated: December 12, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrea Anderson Psyd Lp Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA ANDERSON PSYD LP LLC (NPI 1720593841) is a healthcare organization registered as a clinical in Eagan, Minnesota and active in the NPI registry since December 2017. The organization lists Andrea Anderson, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1720593841
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameANDREA ANDERSON PSYD LP LLC
Location Address4660 SLATER RD STE 245-CEagan, MN 55122-4047
Mailing Address1826 Walnut LnEagan, MN 55122-2434 · (612) 963-7027
Organization SubpartNo
Authorized OfficialAndrea AndersonLicensed Psychologist · (612) 963-7027
Enumeration DateDecember 12, 2017
NPI 1720593841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MN · LP5161
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4660 SLATER RD STE 245-C, Eagan, MN 55122

Other Identifiers 1

Medicaid1659604874MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Anderson Psyd LP LLC's NPI number?

The NPI number for Andrea Anderson Psyd LP LLC is 1720593841. It was assigned to this organization in the NPPES registry on December 12, 2017.

Where is Andrea Anderson Psyd LP LLC located?

Andrea Anderson Psyd LP LLC is located at 4660 Slater Rd Ste 245-C, Eagan, MN 55122. The listed phone number is (612) 963-7027.

What is Andrea Anderson Psyd LP LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Andrea Anderson Psyd LP LLC was last updated on December 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.