Anderson, Carol V
Anderson, Carol V is an individual health care provider with primary practice located at 2060 E 25Th St , Idaho Falls ID 83404-6490. 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 V can be contacted via phone (208) 522-3404.Contact Information
Primary practice address
2060 E 25Th St
Idaho Falls ID 83404-6490
Phone: (208) 522-3404
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY-202288 | Idaho |
Profile Details
| NPI number | 1396878401 |
|---|---|
| LBN Legal business name | Anderson, Carol V |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Feb 6th, 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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