Anderson, Kathleen Lynn

Anderson, Kathleen Lynn is an individual health care provider with primary practice located at 2233 Deerfield Dr , Fort Mill SC 29715-6941. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Anderson, Kathleen Lynn can be contacted via phone (803) 548-2527.

Contact Information

Primary practice address
2233 Deerfield Dr Fort Mill SC 29715-6941
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 4610 South Carolina

Profile Details

NPI number 1356789382
LBN Legal business name Anderson, Kathleen Lynn
Credentials SSP, NCSP, LPES
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2013
Last updated Jun 12th, 2013 - about 11 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 1356789382 NPPES
South Carolina Other 4610 LLI LICENSE

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