Anderson, Thomas Lee

Anderson, Thomas Lee is an individual health care provider with primary practice located at 10000 Hampton Parkway Office Of The Command Psychologist, Ft. Jackson SC 20207. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Anderson, Thomas Lee can be contacted via phone (803) 751-8794.

Contact Information

Primary practice address
10000 Hampton Parkway Office Of The Command Psychologist Ft. Jackson SC 20207
Phone: (803) 751-8794
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 386 South Carolina

Profile Details

NPI number 1104892330
LBN Legal business name Anderson, Thomas Lee
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jun 10th, 2013 - 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 1104892330 NPPES
South Carolina MEDICAID PS0298

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