Anderson, Thomas Randall
Anderson, Thomas Randall is an sole proprietor health care provider with primary practice located at 103 Ruby Ln , Crestview FL 32539-7341. 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 Randall can be contacted via phone (850) 682-1903.Contact Information
Primary practice address
103 Ruby Ln
Crestview FL 32539-7341
Phone: (850) 682-1903
Fax: (850) 682-8689
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY6519 | Florida |
Profile Details
| NPI number | 1518970169 |
|---|---|
| LBN Legal business name | Anderson, Thomas Randall |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Jul 8th, 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.
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