Anderson, Carol L

Anderson, Carol L is an sole proprietor health care provider with primary practice located at 17726 Oak Park Ave Suite H, Tinley Park IL 60477-3917. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Anderson, Carol L can be contacted via phone (708) 614-6190.

Contact Information

Primary practice address
17726 Oak Park Ave Suite H Tinley Park IL 60477-3917
Phone: (708) 614-6190
Fax: (708) 614-6189
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois

Profile Details

NPI number 1538252481
LBN Legal business name Anderson, Carol L
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538252481 NPPES
Illinois Other 034410 VALUE OPTIONS PROVIDER #
Illinois Other 1626684 VALUE OPTIONS PROVIDER #

Popular Providers