Thomas Randall Anderson in Chipley - Clinical
Thomas Randall Anderson - NPI 1518970169
Thomas Randall Anderson is a Clinical in Chipley, Florida. Thomas Randall Anderson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Thomas Randall Anderson is 1518970169. The last update date is 2007-07-08.
Thomas Randall Anderson's current location address is 3997 Stewart Lake Rd, Chipley, Florida. You can contact this provider via phone number 8663255434 and fax number 8663255340. The mailing address for Thomas Randall Anderson is 3997 Stewart Lake Rd, Chipley, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Randall Anderson |
|---|---|
| Address | 3997 Stewart Lake Rd, Chipley, Florida |
| Phone Number | 8663255434 |
| Fax Number | 8663255340 |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1518970169 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3997 Stewart Lake Rd |
|---|---|
| City | Chipley |
| State | Florida (FL) |
| Post Code | 324287319 |
| Phone Number | 8663255434 |
| Fax Number | 8663255340 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY6519 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Thomas Randall Anderson by the Centers for Medicare & Medicaid Services?
The Thomas Randall Anderson has been assigned the NPI (National Provider Identifier) 1518970169 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Thomas Randall Anderson is physically located?
The Thomas Randall Anderson is situated at the following address: 3997 Stewart Lake Rd, Chipley, FL 324287319.
What is Thomas Randall Anderson's area of expertise and its corresponding taxonomy classification?
The Thomas Randall Anderson's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Thomas Randall Anderson receive its 1518970169 assignment from the Centers for Medicare & Medicaid Services?
The Thomas Randall Anderson was assigned its 1518970169 by the Centers for Medicare & Medicaid Services on 2006-08-14.
As of what date was the information pertaining to Thomas Randall Anderson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Thomas Randall Anderson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH