Anderson, Deborah Louisa

Anderson, Deborah Louisa is an individual health care provider with primary practice located at 1100 Blythe Blvd , Charlotte NC 28203-5814. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Anderson, Deborah Louisa can be contacted via phone (704) 355-7776.

Contact Information

Primary practice address
1100 Blythe Blvd Charlotte NC 28203-5814
Phone: (704) 355-7776
Fax: (704) 355-4231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4119 North Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X 628 South Carolina

Profile Details

NPI number 1396708863
LBN Legal business name Anderson, Deborah Louisa
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jul 20th, 2012 - about 13 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 1396708863 NPPES
North Carolina Other 02154 BCBSNC
North Carolina MEDICAID 6001074 BCBSNC
North Carolina Other 224686 BCBSNC

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