Anderson, Wade Gregory

Anderson, Wade Gregory is an sole proprietor health care provider with primary practice located at 1713 Eagle Trace Blvd , Palm Harbor FL 34685-3313. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Anderson, Wade Gregory can be contacted via phone (727) 492-5608.

Contact Information

Primary practice address
1713 Eagle Trace Blvd Palm Harbor FL 34685-3313
Fax: (727) 784-2209
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 6185 Florida

Profile Details

NPI number 1154408243
LBN Legal business name Anderson, Wade Gregory
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - 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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