Angela Tierra Anderson - New York, NY

Angela Tierra Anderson

Student in an Organized Health Care Education/Training Program in New York, New York

NPI 1720421530

Angela Tierra Anderson is a Student in an Organized Health Care Education/Training Program based in New York, NY. Angela Tierra Anderson practices in New York, NY. The NPI Number for Angela Tierra Anderson is 1720421530 and holds a License No. MD458257 (New York).

The current practice location address for Angela Tierra Anderson is 3959 Broadway, New York, NY and can be reached out via phone at 212-305-8504.

Location: 3959 Broadway, New York, NY, 10032-1559

NPI Number

1720421530

Provider Name

Angela Tierra Anderson

Credential

Provider Entity Type

Individual

Gender

Female

Address

3959 Broadway, New York, NY, 10032-1559

Phone Number

212-305-8504

Fax Number

Provider Enumeration Date

04/10/2013

Last Update Date

03/09/2024

Address

3959 Broadway

City

New York

State

New York

Zip

10032-1559

Phone Number

212-305-8504

Fax Number

Address

3959 Broadway

City

New York

State

New York

Zip

10032-1559

Phone Number

212-305-8504

Fax Number

Type

Allopathic & Osteopathic Physicians

Classification

Psychiatry & Neurology

Speciality

Child & Adolescent Psychiatry

Taxonomy

2084P0804X

License No.

()

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

MD458257 (Pennsylvania)

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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