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General NPI Number Information
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NPI Number | 1982839536
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Entity Type | Organization
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Legal Business Name | A L ANDERSON PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 05/27/2009
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 209 S MAIN ST FL 8
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City | AKRON
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State | OH
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Zip | 44308-1320
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Country | US
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Telephone | 330-620-8535
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Fax | 234-380-5930
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Provider Business Mailing Address
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Address Line | 3900 DARROW RD UNIT 2704
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City | STOW
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State | OH
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Zip | 44224-7345
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Country | US
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Telephone | 330-620-8535
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Fax | 234-380-5930
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Authorized Official
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Title or Position | OWNER
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Name | AMY L ANDERSON
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Credential | PHD
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Telephone | 330-620-8535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6528
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License Number State | OH
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