Anderson, Paul A

Anderson, Paul A is an individual health care provider with primary practice located at 614 Main St , Lykens PA 17048-1309. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Anderson, Paul A can be contacted via phone (717) 365-7777.

Contact Information

Primary practice address
614 Main St Lykens PA 17048-1309
Phone: (717) 365-7777
Fax: (717) 365-3848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 19815703 Pennsylvania

Profile Details

NPI number 1003884701
LBN Legal business name Anderson, Paul A
Credentials D.ED.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 8th, 2007 - about 18 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 1003884701 NPPES
Pennsylvania MEDICAID 01579002

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