Anderson, Harold Lyle

Anderson, Harold Lyle is an individual health care provider with primary practice located at 1427 Genesee St , Utica NY 13501-4343. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Anderson, Harold Lyle can be contacted via phone (315) 738-1428.

Contact Information

Primary practice address
1427 Genesee St Utica NY 13501-4343
Phone: (315) 738-1428
Fax: (315) 738-1461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 049507 New York

Profile Details

NPI number 1760434088
LBN Legal business name Anderson, Harold Lyle
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Oct 9th, 2015 - about 10 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 1760434088 NPPES
New York MEDICAID 03679632
New York MEDICAID 01039156

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