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NPI 1144116757 · live from the CMS NPI Registry

Andersen Psychotherapy, LLC

Psychologist, Clinical in Charlottesville, VA. National Provider Identifier 1144116757, active.

NPI record

NPI1144116757 Type 2 · organization
StatusActive
Primary specialtyPsychologist, Clinical 103TC0700X
Practice location100 E South St, Suite 5a #1, Charlottesville, VA 22902
Practice phone434-422-7208
Mailing addressPo Box 3, Charlottesville, VA 22902
EnumeratedJune 18, 2025
Last updatedJune 18, 2025
Authorized officialVirginia Anderen, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Psychologist, Clinical primary103TC0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.