Individual provider · NPI-1

Dr. John A. Anderson, Psy.D.

Psychologist, Clinical · Cary, NC

NPI number1902962004
StatusActive
Last updated in NPPESDec 14, 2017

Details

NPI
1902962004
Entity type
Individual (NPI-1)
Name
Dr. John A. Anderson
Credential
Psy.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 31, 2006
Last updated
Dec 14, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical2941NCYes

Practice location

501 Pinner Weald Way Ste 201
Cary, NC 27513-2610

Phone 919-465-2343 · Fax 919-465-2344

Mailing address

1548 Fairbanks Rd
Cary, NC 27513-2705

Phone 919-468-8398

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