Anderson, Evan J

Anderson, Evan J is an individual health care provider with primary practice located at 1204 W Main St , Charlottesville VA 22903-2824. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Anderson, Evan J can be contacted via phone (434) 924-8184.

Contact Information

Primary practice address
1204 W Main St Charlottesville VA 22903-2824
Phone: (434) 924-8184
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS-P00257 Georgia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810008529 Virginia

Profile Details

NPI number 1134765159
LBN Legal business name Anderson, Evan J
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2019
Last updated Jul 11th, 2024 - about 2 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.

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