| Rebecca Anderson Phd Llc | |
|
9210 Estero Park Commons Blvd Ste 7 Estero FL 33928-6395 | |
| (239) 351-5979 | |
| (259) 495-7772 |
| Full Name | Rebecca Anderson Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 9210 Estero Park Commons Blvd Ste 7, Estero, Florida |
| Authorized Official Name and Position | Rebecca G Anderson (PSYCHOLOGIST) |
| Authorized Official Contact | 2393515979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Anderson Phd Llc 2197 Pine Woods Cir Naples FL 34105-2543 Ph: (413) 246-5499 | Rebecca Anderson Phd Llc 9210 Estero Park Commons Blvd Ste 7 Estero FL 33928-6395 Ph: (239) 351-5979 |
| NPI Number | 1043800493 |
|---|---|
| Provider Enumeration Date | 01/20/2021 |
| Last Update Date | 04/27/2024 |
| Certification Date | 04/27/2024 |
| Medicare PECOS PAC ID | 5890100689 |
|---|---|
| Medicare Enrollment ID | O20210210000667 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043800493 | NPI | - | NPPES |
| 1538104302 | Other | NPI - TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rebecca G Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538104302 PECOS PAC ID: 8325215890 Enrollment ID: I20140327001687 |
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