Kelly D Anderson is a School in Mesa, Arizona. Kelly D Anderson practices all healthcare services and medical treatments related to School. The NPI Number for Kelly D Anderson is 1578685996. The last update date is 2007-07-09.
Kelly D Anderson's current location address is 1025 N Country Club Dr, Mesa, Arizona. You can contact this provider via phone number 4804720502 and fax number 4804720705. The mailing address for Kelly D Anderson is 1025 N Country Club Dr, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly D Anderson |
|---|---|
| Address | 1025 N Country Club Dr, Mesa, Arizona |
| Phone Number | 4804720502 |
| Fax Number | 4804720705 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1578685996 |
|---|---|
| Provider Enumeration Date | 2007-04-05 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1025 N Country Club Dr |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852013307 |
| Phone Number | 4804720502 |
| Fax Number | 4804720705 |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 103Ts0200X |
|
Definition: A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 590928 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kelly D Anderson by the Centers for Medicare & Medicaid Services?
The Kelly D Anderson has been issued the NPI (National Provider Identifier) 1578685996 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kelly D Anderson?
The Kelly D Anderson is situated at 1025 N Country Club Dr, in the city of Mesa, state of AZ, with the zip code 852013307.
What is Kelly D Anderson's area of expertise and its corresponding taxonomy classification?
The Kelly D Anderson's field of specialization is School, and it falls under the taxonomy code 103Ts0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1578685996 to Kelly D Anderson?
The Kelly D Anderson received its 1578685996 assignment from the Centers for Medicare & Medicaid Services on 2007-04-05.
When was the information regarding Kelly D Anderson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kelly D Anderson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.