Anderson, Clyde Wayne
Anderson, Clyde Wayne is an individual health care provider with primary practice located at 3424 Monitor Ln , Tallahassee FL 32312-1516. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Anderson, Clyde Wayne can be contacted via phone (850) 556-6974.Contact Information
Primary practice address
3424 Monitor Ln
Tallahassee FL 32312-1516
Phone: (850) 556-6974
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY6257 | Florida |
Profile Details
| NPI number | 1083803076 |
|---|---|
| LBN Legal business name | Anderson, Clyde Wayne |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2007 |
| Last updated | Sep 29th, 2013 - about 12 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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