Doctor Name: | MR. TIMOTHY LEROY ANDERSON |
NPI Number: | 1023160595 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, LPC |
License Number: | 12671 |
Business Practice Address: | 5528 Woodland Hills Rd. Denton, TX - 76208 |
Business Phone Number: | 9402303471 |
Business Fax Number: | 9403829583 |
Mailing Address: | 1100 W Jackson Rd, CARROLLTON |
State: | TX |
Postal Code: | 750061316 |
Phone Number: | 9722422182 |
Fax Number: | 9722422932 |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 12671 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy 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 |