Anderson, Raymond Gerald

Anderson, Raymond Gerald is an individual health care provider with primary practice located at Parker Indian Health Center 12033 Agency Rd, Parker AZ 85344. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Anderson, Raymond Gerald can be contacted via phone (928) 669-3373.

Contact Information

Primary practice address
Parker Indian Health Center 12033 Agency Rd Parker AZ 85344
Phone: (928) 669-3373
Fax: (928) 669-3311
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1760416390
LBN Legal business name Anderson, Raymond Gerald
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 9th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760416390 NPPES
Arizona MEDICAID 638067

Popular Providers