IndividualActive
Adisa Anderson, PH.D.
NPI 1174938542 · Counseling Psychologist · Berkeley, CA
Provider details
- NPI number
- 1174938542
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
Practice location
2222 Bancroft Way
#4300
Berkeley, CA 94720-4300
Phone: (510) 934-6255
Mailing address
2222 Bancroft Way Spc 4300
Berkeley, CA 94720-4300
Registry dates
- Enumerated
- 2014-06-24
- Last updated
- 2025-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.