Anderson, Elisabeth

Anderson, Elisabeth is an individual health care provider with primary practice located at 120 Eastgate Dr , Washington IL 61571-9236. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Anderson, Elisabeth can be contacted via phone (309) 423-3111.

Contact Information

Primary practice address
120 Eastgate Dr Washington IL 61571-9236
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 1006734 Illinois

Profile Details

NPI number 1356070817
LBN Legal business name Anderson, Elisabeth
Credentials NCSP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2022
Last updated Jun 8th, 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 1356070817 NPPES
Illinois Other 1004796 NATIONAL ASSOCIATION OF SCHOOL PSYCHOLOGISTS
Illinois Other 1006734 NATIONAL ASSOCIATION OF SCHOOL PSYCHOLOGISTS

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