Anderson, Lyndis Faye

Anderson, Lyndis Faye is an sole proprietor health care provider with primary practice located at 1805 Herrington Rd Bldg 2 , Lawrenceville GA 30043-5649. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Anderson, Lyndis Faye can be contacted via phone (770) 962-1944.

Contact Information

Primary practice address
1805 Herrington Rd Bldg 2 Lawrenceville GA 30043-5649
Fax: (770) 962-1886
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 001676 Georgia

Profile Details

NPI number 1780792325
LBN Legal business name Anderson, Lyndis Faye
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2006
Last updated Jul 9th, 2007 - about 17 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 1780792325 NPPES
Georgia MEDICAID 00528305B

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