NPI 1063559862 · live from the CMS NPI Registry
Nicole Lawanda Anderson, LPC
Psychologist, Clinical in Alexandria, VA. National Provider Identifier 1063559862, active.
NPI record
| NPI | 1063559862 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 5808 Woodlawn Green Ct Apt B, Alexandria, VA 22309 |
| Practice phone | 571-241-7639 |
| Enumerated | January 31, 2007 |
| Last updated | April 8, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 0701003974 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.