| Bob Anderson, Ph.d., Pc | |
|
710 Northeast Dr Suite 11 Davidson NC 28036-7427 | |
| (704) 892-5788 | |
| (704) 892-5799 |
| Full Name | Bob Anderson, Ph.d., Pc |
|---|---|
| Speciality | Psychologist |
| Location | 710 Northeast Dr, Davidson, North Carolina |
| Authorized Official Name and Position | Robert J Anderson (PRESIDENT-LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7048925788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bob Anderson, Ph.d., Pc 710 Northeast Dr Suite 11 Davidson NC 28036-7427 Ph: (704) 892-5788 | Bob Anderson, Ph.d., Pc 710 Northeast Dr Suite 11 Davidson NC 28036-7427 Ph: (704) 892-5788 |
| NPI Number | 1821128471 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 02/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821128471 | NPI | - | NPPES |
| 102698 | Other | NC | MHN |
| 6000290 | Medicaid | NC | |
| 965120 | Other | NC | COVENTRY HC-FIRST HEALTH |
| 386715 | Other | NC | MAMSI |
| 101417000 | Other | NC | MAGELLAN HEALTH SERVICES |
| 6165368 | Other | NC | UNITED BEHAVIORAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1891 (North Carolina) | Primary |
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