Provider Demographics
NPI:1437482098
Name:ANDERSON, HARRIET R (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:HARRIET
Middle Name:R
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:HARRIET
Other - Middle Name:R
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:44349 LOWTREE AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-4104
Mailing Address - Country:US
Mailing Address - Phone:661-524-9115
Mailing Address - Fax:661-522-7833
Practice Address - Street 1:44349 LOWTREE AVE
Practice Address - Street 2:STE 108
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4104
Practice Address - Country:US
Practice Address - Phone:661-524-9115
Practice Address - Fax:661-522-7833
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-15
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA84065106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist