Anderson, Vicky Lyn

Anderson, Vicky Lyn is an sole proprietor health care provider with primary practice located at 45 South Street Mailmun House Brandeis University Psychological Counseling Center, Waltham MA 02453. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Anderson, Vicky Lyn can be contacted via phone (781) 736-3730.

Contact Information

Primary practice address
45 South Street Mailmun House Brandeis University Psychological Counseling Center Waltham MA 02453
Phone: (781) 736-3730
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6080 Massachusetts
Behavioral Health & Social Service Providers / Health Service 103TH0100X 6080 Massachusetts
Behavioral Health & Social Service Providers / School 103TS0200X 148854 Massachusetts

Profile Details

NPI number 1871768762
LBN Legal business name Anderson, Vicky Lyn
Credentials PSY D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2008
Last updated Apr 23rd, 2008 - 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 1871768762 NPPES
Massachusetts Other W04898 BCBS OF MA

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