Anderson, Jacqueline R

Anderson, Jacqueline R is an sole proprietor health care provider with primary practice located at 12303 Airport Way Ste 125 , Broomfield CO 80021-2729. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Anderson, Jacqueline R can be contacted via phone (970) 310-3406.

Contact Information

Primary practice address
12303 Airport Way Ste 125 Broomfield CO 80021-2729
Phone: (970) 310-3406
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X PSY.0005796 Colorado
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY.0005796 Colorado

Profile Details

NPI number 1386137016
LBN Legal business name Anderson, Jacqueline R
Credentials PHD, NCSP, LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2018
Last updated Jul 31st, 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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