Anderson, Terence Neal

Anderson, Terence Neal is an sole proprietor health care provider with primary practice located at 318 Pine Lake Ave , La Porte IN 46350-3061. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Health Service is his primary health care specialty. Anderson, Terence Neal can be contacted via phone (219) 324-6263.

Contact Information

Primary practice address
318 Pine Lake Ave La Porte IN 46350-3061
Phone: (219) 324-6263
Fax: (219) 324-6263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20010366 HSPP Indiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20010366 HSPP Indiana
Behavioral Health & Social Service Providers / Health Service 103TH0100X 20010366 HSPP Indiana

Profile Details

NPI number 1275614869
LBN Legal business name Anderson, Terence Neal
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Jan 7th, 2008 - about 17 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 1275614869 NPPES
Indiana Other 010676 VALUE OPTION
Indiana Other 000000183576 VALUE OPTION

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