| Paul W. Anderson, Inc. | |
|
49 Westbury Park Way Bluffton SC 29910-8824 | |
| (843) 422-1408 | |
| (843) 815-2023 |
| Full Name | Paul W. Anderson, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 49 Westbury Park Way, Bluffton, South Carolina |
| Authorized Official Name and Position | Pamela P. Anderson (CLINICAL SOCIAL WORKER/OWNER) |
| Authorized Official Contact | 8434221408 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul W. Anderson, Inc. 49 Westbury Park Way Bluffton SC 29910-8824 Ph: (843) 422-1408 | Paul W. Anderson, Inc. 49 Westbury Park Way Bluffton SC 29910-8824 Ph: (843) 422-1408 |
| NPI Number | 1770525461 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 07/20/2016 |
| Medicare PECOS PAC ID | 1557592094 |
|---|---|
| Medicare Enrollment ID | O20140326000042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770525461 | NPI | - | NPPES |
| E270 | Other | SC | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10335 (South Carolina) | Primary |
| 1041C0700X | Social Worker - Clinical | 1055 (Kansas) | Secondary |
| Provider Name | Pamela P Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487682761 PECOS PAC ID: 1456582907 Enrollment ID: I20140326000558 |
| Provider Name | Paul W Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235166604 PECOS PAC ID: 5991940694 Enrollment ID: I20220506001566 |
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