Anderson, Jill Marie

Anderson, Jill Marie is an sole proprietor health care provider with primary practice located at 3701 W Radcliff Ave , Denver CO 80236-3645. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Anderson, Jill Marie can be contacted via phone (888) 948-6789.

Contact Information

Primary practice address
3701 W Radcliff Ave Denver CO 80236-3645
Phone: (888) 948-6789
Fax: (877) 345-3501
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1901 Colorado

Profile Details

NPI number 1043383458
LBN Legal business name Anderson, Jill Marie
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Jul 28th, 2022 - about 3 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 1043383458 NPPES
Colorado Other PSY.0001901 PROFESSIONAL LICENSE
Colorado MEDICAID 07190101 PROFESSIONAL LICENSE

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