Anderson, Carol L
Anderson, Carol L is an sole proprietor health care provider with primary practice located at 17726 Oak Park Ave Suite H, Tinley Park IL 60477-3917. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Anderson, Carol L can be contacted via phone (708) 614-6190.Contact Information
Primary practice address
17726 Oak Park Ave Suite H
Tinley Park IL 60477-3917
Phone: (708) 614-6190
Fax: (708) 614-6189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Illinois |
Profile Details
| NPI number | 1538252481 |
|---|---|
| LBN Legal business name | Anderson, Carol L |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538252481 | NPPES |
| Illinois | Other | 034410 | VALUE OPTIONS PROVIDER # |
| Illinois | Other | 1626684 | VALUE OPTIONS PROVIDER # |
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