| Doctor Name: | MR. PAUL IAN ANDERSON |
| NPI Number: | 1043501513 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMSW-CC |
| License Number: | MC11833 |
| Business Practice Address: | 744 Oakland Rd Belgrade, ME - 049173411 |
| Business Phone Number: | 2074657985 |
| Business Fax Number: | 2074657184 |
| Mailing Address: | 744 Oakland Rd, BELGRADE |
| State: | ME |
| Postal Code: | 04917 |
| Phone Number: | 2074657985 |
| Fax Number: | 2074657184 |
| NPI Enumeration Date: | 05/02/2011 |
| NPI Last Update Date: | 05/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | MC11833 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |