Dr. Benjamin Michael Anderson, Psy.D.
Psychologist in Newport, KY. Individual provider (NPI-1).
NPI number1730306754
StatusActive
Last updated in NPPESMar 8, 2019
Details
- NPI
- 1730306754
- Entity type
- Individual (NPI-1)
- Name
- Dr. Benjamin Michael Anderson
- Credential
- Psy.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2007
- Last updated
- Mar 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 128177 | KY | Yes |
| 103TC0700X | Psychologist, Clinical | 71007260 | IL |
Practice location
1400 Grand AvenueNewport, KY 41071
Phone 859-301-5901 · Fax 859-301-5940
Mailing address
Po Box 635283Cincinnati, OH 45263-5283
Phone 859-301-5901 · Fax 859-301-5940
Other practice locations
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