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General NPI Number Information
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NPI Number | 1366068736
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Entity Type | Organization
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Legal Business Name | WILLIAM TODD ANDERSON, PHD, PSYCHOANALYSIS, P.C.
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Dates
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Enumeration Date | 06/22/2020
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 16 MADISON SQ W FL 12
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City | NEW YORK
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State | NY
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Zip | 10010-1629
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Country | US
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Telephone | 347-815-7780
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Fax |
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Provider Business Mailing Address
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Address Line | 16 MADISON SQ W FL 12
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City | NEW YORK
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State | NY
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Zip | 10010-1629
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Country | US
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Telephone | 347-815-7780
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM TODD ANDERSON
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Credential | PHD, PSYD, LP
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Telephone | 347-815-7780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number |
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License Number State |
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