Search › Wisconsin › 103T00000X
Greg Anderson, L.P
NPI 1790157469 · on the registry since 2015 · sole proprietor
Practice
- Address
- 410 Johnson Pkwy
Hammond, WI 54015 - Phone
- (715) 497-7230
- Fax
- (715) 600-9023
- Organisation at this address
- Cdl Psychological Services, Inc.
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 1020 10th Ave Ste 116, Baldwin, WI
- 5125 County Road 101, #300, Minnetonka, MN
- 410 Johnson Pkwy, Hammond, WI
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103T00000X
- Licence states on file
- MN, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin