Provider Demographics
NPI:1548635147
Name:ANDERSON, ANNE LAMOREAUX
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:LAMOREAUX
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 SOUTH BROADWAY SUITE #310
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596
Mailing Address - Country:US
Mailing Address - Phone:888-531-8383
Mailing Address - Fax:925-264-1902
Practice Address - Street 1:800 SOUTH BROADWAY SUITE #310
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596
Practice Address - Country:US
Practice Address - Phone:888-531-8383
Practice Address - Fax:925-264-1902
Is Sole Proprietor?:No
Enumeration Date:2015-12-08
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst