Andersen, Jason A

Andersen, Jason A is an individual health care provider with primary practice located at 120 E Trinity Pl , Decatur GA 30030-3302. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Family is his primary health care specialty. Andersen, Jason A can be contacted via phone (404) 668-3766.

Contact Information

Primary practice address
120 E Trinity Pl Decatur GA 30030-3302
Phone: (404) 668-3766
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3325 Georgia
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 3325 Georgia
Behavioral Health & Social Service Providers / Family 103TF0000X 3325 Georgia

Profile Details

NPI number 1740516731
LBN Legal business name Andersen, Jason A
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2009
Last updated Oct 26th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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