Anderson, Benjamin Michael

Anderson, Benjamin Michael is an individual health care provider with primary practice located at 1400 Grand Avenue , Newport KY 41071. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Anderson, Benjamin Michael can be contacted via phone (859) 301-5901.

Contact Information

Primary practice address
1400 Grand Avenue Newport KY 41071
Phone: (859) 301-5901
Fax: (859) 301-5940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 71007260 Illinois
Behavioral Health & Social Service Providers / Psychologist 103T00000X 128177 Kentucky

Profile Details

NPI number 1730306754
LBN Legal business name Anderson, Benjamin Michael
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Mar 8th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730306754 NPPES
Kentucky Other K237430 KY MEDICARE
Kentucky MEDICAID 7100501510 KY MEDICARE

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