NPI 1043703598 · live from the CMS NPI Registry
Paul Anderson
Psychologist in Devens, MA. National Provider Identifier 1043703598, active.
NPI record
| NPI | 1043703598 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 42 Patton Rd, Devens, MA 01434 |
| Practice phone | 978-796-1420 |
| Mailing address | 22 Rosemere Rd, Cumberland, RI 02864 |
| Enumerated | June 10, 2018 |
| Last updated | June 10, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 7308 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.