Terry Anderson is a Counselor in Fort Wayne, Indiana. Terry Anderson practices all healthcare services and medical treatments related to Counselor. The NPI Number for Terry Anderson is 1538364740. The last update date is 2007-11-15.
Terry Anderson's current location address is 300 W Wayne St, Fort Wayne, Indiana. You can contact this provider via phone number 2604228556 and fax number 2604228558. The mailing address for Terry Anderson is 300 W Wayne St, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Terry Anderson |
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Address | 300 W Wayne St, Fort Wayne, Indiana |
Phone Number | 2604228556 |
Fax Number | 2604228558 |
Sole Proprietor | N |
Credentials | MA, MSW, D |
NPI Number Detail
NPI Number | 1538364740 |
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Provider Enumeration Date | 2007-06-18 |
Last Updated Date | 2007-11-15 |
Provider Mailing Address Detail
Address | 300 W Wayne St |
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City | Fort Wayne |
State | Indiana (IN) |
Post Code | 468023608 |
Phone Number | 2604228556 |
Fax Number | 2604228558 |
Provider's Primary Taxonomy Detail
Speciality | Counselor |
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Taxonomy | 101Y00000X |
Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
34003367A | IN | STATE LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Terry Anderson?
The Terry Anderson has been issued the NPI (National Provider Identifier) 1538364740 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Terry Anderson is physically located?
The Terry Anderson is situated at the following address: 300 W Wayne St, Fort Wayne, IN 468023608.
What is Terry Anderson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Terry Anderson's area of specialization is Counselor, and the corresponding taxonomy code that categorizes this field of practice is 101Y00000X.
On what date did the Terry Anderson receive the assignment of its 1538364740 from the Centers for Medicare & Medicaid Services?
The Terry Anderson was issued its 1538364740 by the Centers for Medicare & Medicaid Services on 2007-06-18.
When was the information pertaining to Terry Anderson most recently updated or revised?
The details related to Terry Anderson, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-15.