| Susan J. Anderson, Psy.d., Pa | |
|
8500 W. 100th Street 540 Overland Park KS 66210 | |
| (913) 353-5993 | |
| (844) 800-3062 |
| Full Name | Susan J. Anderson, Psy.d., Pa |
|---|---|
| Speciality | Psychologist |
| Location | 8500 W. 100th Street, Overland Park, Kansas |
| Authorized Official Name and Position | Susan Joan Anderson (/PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 9133535993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan J. Anderson, Psy.d., Pa 8500 W 110th St Suite 540 Overland Park KS 66210-1874 Ph: (913) 353-5993 | Susan J. Anderson, Psy.d., Pa 8500 W. 100th Street 540 Overland Park KS 66210 Ph: (913) 353-5993 |
| NPI Number | 1790181063 |
|---|---|
| Provider Enumeration Date | 11/13/2014 |
| Last Update Date | 11/13/2014 |
| Medicare PECOS PAC ID | 9133442841 |
|---|---|
| Medicare Enrollment ID | O20150106000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790181063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1767 (Kansas) | Primary |
| Provider Name | Susan J Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285861948 PECOS PAC ID: 7911196605 Enrollment ID: I20110111000905 |
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