Anderson, Deborah Lynne
Anderson, Deborah Lynne is an sole proprietor health care provider with primary practice located at 15 Groveland Ter Suite 302, Minneapolis MN 55403-1154. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Anderson, Deborah Lynne can be contacted via phone (612) 374-2400.Contact Information
Primary practice address
15 Groveland Ter Suite 302
Minneapolis MN 55403-1154
Phone: (612) 374-2400
Fax: (612) 374-2401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | LP4563 | Minnesota |
Profile Details
| NPI number | 1407938723 |
|---|---|
| LBN Legal business name | Anderson, Deborah Lynne |
| Credentials | PSY.D, LP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407938723 | NPPES |
| Minnesota | Other | 61-90438 | MEDICA |
| Minnesota | Other | 34008AN | MEDICA |
| Minnesota | Other | 119099 | MEDICA |
| Minnesota | Other | 7903877 | MEDICA |
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