Anderson, Irene
Anderson, Irene is an sole proprietor health care provider with primary practice located at 11810 Grand Park Ave Ste 500 , North Bethesda MD 20852-8679. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Anderson, Irene can be contacted via phone (301) 633-8516.Contact Information
Primary practice address
11810 Grand Park Ave Ste 500
North Bethesda MD 20852-8679
Phone: (301) 633-8516
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LGP13368 | Maryland |
Profile Details
| NPI number | 1396455358 |
|---|---|
| LBN Legal business name | Anderson, Irene |
| Credentials | LGPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2022 |
| Last updated | Nov 30th, 2022 - about 4 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 | 1396455358 | NPPES |
| Maryland | Other | LGP13368 | PRIVATE PAY |
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