Doctor Name: | CHRISTOPHER ANDERSON |
NPI Number: | 1073900486 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 8975 |
Business Practice Address: | 2348 Whitney Ave Suite 2 Hamden, CT - 065183512 |
Business Phone Number: | 2032872488 |
Business Fax Number: | |
Mailing Address: | 96 Lyon St, NEW HAVEN |
State: | CT |
Postal Code: | 065114927 |
Phone Number: | 2036246632 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2015 |
NPI Last Update Date: | 04/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 8975 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |