Anderson, Jacqueline R
Anderson, Jacqueline R is an sole proprietor health care provider with primary practice located at 215 W Oak St Fl 4 , Fort Collins CO 80521-2734. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Anderson, Jacqueline R can be contacted via phone (970) 310-3406.Contact Information
Primary practice address
215 W Oak St Fl 4
Fort Collins CO 80521-2734
Phone: (970) 310-3406
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY.0005796 | Colorado |
Profile Details
| NPI number | 1386137016 |
|---|---|
| LBN Legal business name | Anderson, Jacqueline R |
| Credentials | PSY D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2018 |
| Last updated | Jan 3rd, 2024 - about last year |
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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