| Doctor Name: | DORALYNN ANDERSON |
| NPI Number: | 1093190217 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN 176602 |
| Business Practice Address: | 6753 State Rd Parma, OH - 441344517 |
| Business Phone Number: | 4408435561 |
| Business Fax Number: | |
| Mailing Address: | 6753 State Rd., PARMA |
| State: | OH |
| Postal Code: | 44134 |
| Phone Number: | 4408435561 |
| Fax Number: | |
| NPI Enumeration Date: | 07/29/2015 |
| NPI Last Update Date: | 07/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0400X |
| License Number: | RN 176602 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |