Terry Anderson in Fort Wayne - Marriage & Family Therapist

Terry Anderson - NPI 1538364740

Terry Anderson is a Marriage & Family Therapist in Fort Wayne, Indiana. Terry Anderson practices all healthcare services and medical treatments related to Marriage & Family Therapist. 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
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
Provider Enumeration Date 2007-06-18
Last Updated Date 2007-11-15

Provider Mailing Address Detail

Address 300 W Wayne St
City Fort Wayne
State Indiana (IN)
Post Code 468023608
Phone Number 2604228556
Fax Number 2604228558

Provider's Primary Taxonomy Detail

Speciality Marriage & Family Therapist
Taxonomy 106H00000X
Definition:
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
34003367A IN STATE LICENSE

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FAQs about Terry Anderson

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 Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this field of practice is 106H00000X.

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.

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