Dr. Paul W. Anderson, Ph.D.
Psychologist, Counseling in Overland Park, KS. Individual provider (NPI-1).
NPI number1235166604
StatusActive
Last updated in NPPESMar 11, 2020
Details
- NPI
- 1235166604
- Entity type
- Individual (NPI-1)
- Name
- Dr. Paul W. Anderson
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2006
- Certification date
- Mar 11, 2020
- Last updated
- Mar 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | 1260 | KS | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 054 | KS | |
| 103T00000X | Psychologist | 1260 | KS |
Practice location
8216 W 113th TerOverland Park, KS 66210-2425
Phone 913-991-2302
Mailing address
8216 W 113th TerOverland Park, KS 66210-2425
Phone 913-991-2302
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