Anderson, Douglas Lamont

Anderson, Douglas Lamont is an individual health care provider with primary practice located at 3000 W Cecil Ave , Delano CA 93215-1821. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Anderson, Douglas Lamont can be contacted via phone (661) 721-6300.

Contact Information

Primary practice address
3000 W Cecil Ave Delano CA 93215-1821
Phone: (661) 721-6300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY25761 California

Profile Details

NPI number 1649499617
LBN Legal business name Anderson, Douglas Lamont
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Jun 14th, 2022 - about 2 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 1649499617 NPPES
California Other 25761 CALIFORNIA STATE PSYCHOLOGIST LICENSE
California Other PSY25761 CALIFORNIA STATE PSYCHOLOGIST LICENSE

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