Anderson, Deborah Lynne

Anderson, Deborah Lynne is an sole proprietor health care provider with primary practice located at 15 Groveland Ter Suite 302, Minneapolis MN 55403-1154. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Anderson, Deborah Lynne can be contacted via phone (612) 374-2400.

Contact Information

Primary practice address
15 Groveland Ter Suite 302 Minneapolis MN 55403-1154
Fax: (612) 374-2401
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X LP4563 Minnesota

Profile Details

NPI number 1407938723
LBN Legal business name Anderson, Deborah Lynne
Credentials PSY.D, LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Jul 8th, 2007 - about 17 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 1407938723 NPPES
Minnesota Other 61-90438 MEDICA
Minnesota Other 34008AN MEDICA
Minnesota Other 119099 MEDICA
Minnesota Other 7903877 MEDICA

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