Doctor Name: | MARY ANDERSON |
NPI Number: | 1033493937 |
Entity Type Code: | Individual (1) |
Gender: | F |
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License Number: | |
Business Practice Address: | 2051 Martin Luther King Jr Blvd Suite 101 Riviera Beach, FL - 334047004 |
Business Phone Number: | 5616834778 |
Business Fax Number: | |
Mailing Address: | 868 Gardenia Dr, ROYAL PALM BEACH |
State: | FL |
Postal Code: | 334113469 |
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Fax Number: | |
NPI Enumeration Date: | 10/11/2011 |
NPI Last Update Date: | 10/11/2011 |
Replacement NPI: | 0 |
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NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
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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 |