Anderson, Dana K

Anderson, Dana K is an individual health care provider with primary practice located at 2949 W State Road 434 Suite 200, Longwood FL 32779-4458. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Anderson, Dana K can be contacted via phone (407) 221-0366.

Contact Information

Primary practice address
2949 W State Road 434 Suite 200 Longwood FL 32779-4458
Phone: (407) 221-0366
Fax: (310) 347-4260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT2565 Florida

Profile Details

NPI number 1326234717
LBN Legal business name Anderson, Dana K
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2007
Last updated Nov 11th, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326234717 NPPES
Florida MEDICAID 0131360015

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