Anderson, Roger

Anderson, Roger is an individual health care provider with primary practice located at 2002 Holcombe Blvd , Houston TX 77030-4211. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Anderson, Roger can be contacted via phone (713) 791-1414.

Contact Information

Primary practice address
2002 Holcombe Blvd Houston TX 77030-4211
Phone: (713) 791-1414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1275544173
LBN Legal business name Anderson, Roger
Credentials LCSW, LCDC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Sep 2nd, 2009 - about 16 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 1275544173 NPPES
Texas MEDICAID 039952901

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