Anderson, Phyllis Margo
Anderson, Phyllis Margo is an sole proprietor health care provider with primary practice located at 5675 Stone Rd Suite 320, Centreville VA 20120-1667. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Anderson, Phyllis Margo can be contacted via phone (703) 803-7450.Contact Information
Primary practice address
5675 Stone Rd Suite 320
Centreville VA 20120-1667
Phone: (703) 803-7450
Fax: (703) 830-0001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810002250 | Virginia |
Profile Details
| NPI number | 1548317712 |
|---|---|
| LBN Legal business name | Anderson, Phyllis Margo |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548317712 | NPPES |
| Virginia | Other | 086106 | ANTHEM |
| Virginia | Other | B607 | ANTHEM |
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