Anderson, Sydney F

Anderson, Sydney F is an individual health care provider with primary practice located at 637 N College Ave , Bloomington IN 47404-3871. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Anderson, Sydney F can be contacted via phone (812) 331-2800.

Contact Information

Primary practice address
637 N College Ave Bloomington IN 47404-3871
Phone: (812) 331-2800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20040198A Indiana
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20040198A Indiana

Profile Details

NPI number 1053389270
LBN Legal business name Anderson, Sydney F
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Apr 29th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053389270 NPPES
Indiana MEDICAID 100331430A
Indiana Other 000000316234

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