Anderson, Richard M

Anderson, Richard M is an sole proprietor health care provider with primary practice located at 21 Windsor On The Marsh , Savannah GA 31419-2409. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Anderson, Richard M can be contacted via phone (912) 921-0464.

Contact Information

Primary practice address
21 Windsor On The Marsh Savannah GA 31419-2409
Fax: (912) 921-0464
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY000533 Georgia

Profile Details

NPI number 1801145354
LBN Legal business name Anderson, Richard M
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2012
Last updated Aug 30th, 2012 - about 12 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 1801145354 NPPES
Georgia MEDICAID 00144988A

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