NPI 1336447416 MR. THEODORE A ANDERSON LMFT, CADC II MONROVIA CA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mr. Theodore A Anderson - NPI: 1336447416

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MR. THEODORE A ANDERSON
NPI Number: 1336447416
Entity Type Code: Individual (1)
Gender: M
Credentials: LMFT, CADC II
License Number: RA01600315
Business Practice Address: 11600 Eldridge Ave
Lake View Terrace, CA - 913426506
Business Phone Number: 8186125043
Business Fax Number:
Mailing Address: 817 E Foothill Blvd,
MONROVIA
State: CA
Postal Code: 910162407
Phone Number: 8186125043
Fax Number:
NPI Enumeration Date: 03/14/2011
NPI Last Update Date: 05/27/2016
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YA0400X
License Number: RA01600315
Healthcare Provider Taxonomy:
(Secondary)
N
State: CA
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Addiction (Substance Use Disorder)
Taxonomy Definition:


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