NPI 1124145503 · live from the CMS NPI Registry
Christopher Marc Anderson, PhD
Psychologist, Clinical Child & Adolescent in Beverly, MA. National Provider Identifier 1124145503, active.
NPI record
| NPI | 1124145503 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical Child & Adolescent 103TC2200X |
| Practice location | 234 Cabot Street, Suite 2, Beverly, MA 01915 |
| Practice phone | 978-232-0192 |
| Enumerated | March 23, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical Child & Adolescent primary | 103TC2200X | MA7791 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.