| John A. Anderson, Psy.d., Inc. | |
|
800 Pinner Weald Way Ste 101 Cary NC 27513-2607 | |
| (919) 465-2343 | |
| Not Available |
| Full Name | John A. Anderson, Psy.d., Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 800 Pinner Weald Way Ste 101, Cary, North Carolina |
| Authorized Official Name and Position | John A. Anderson (OWNER) |
| Authorized Official Contact | 9194652343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John A. Anderson, Psy.d., Inc. 800 Pinner Weald Way Ste 101 Cary NC 27513-2607 Ph: (919) 465-2343 | John A. Anderson, Psy.d., Inc. 800 Pinner Weald Way Ste 101 Cary NC 27513-2607 Ph: (919) 465-2343 |
| NPI Number | 1215116157 |
|---|---|
| Provider Enumeration Date | 10/28/2007 |
| Last Update Date | 07/27/2021 |
| Certification Date | 07/27/2021 |
| Medicare PECOS PAC ID | 5294094777 |
|---|---|
| Medicare Enrollment ID | O20180108001813 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215116157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2941 (North Carolina) | Primary |
| Provider Name | John Andrew Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902962004 PECOS PAC ID: 6103185681 Enrollment ID: I20180108001894 |
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