Anderson, Douglas L

Anderson, Douglas L is an individual health care provider with primary practice located at 2109 S Norton Ave , Sioux Falls SD 57105-3730. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Anderson, Douglas L can be contacted via phone (605) 334-2696.

Contact Information

Primary practice address
2109 S Norton Ave Sioux Falls SD 57105-3730
Phone: (605) 334-2696
Fax: (605) 339-9944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1141 South Dakota
Behavioral Health & Social Service Providers / Psychologist 103T00000X 353 South Dakota

Profile Details

NPI number 1750381851
LBN Legal business name Anderson, Douglas L
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Mar 17th, 2018 - about 6 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 1750381851 NPPES
South Dakota MEDICAID 6550970
South Dakota Other 3059
South Dakota Other 21966
South Dakota Other 7H877AN

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