NPI 1215952379 · live from the CMS NPI Registry
John R Anderson, Ph.D.
Psychologist, Clinical in Little Rock, AR. National Provider Identifier 1215952379, active.
NPI record
| NPI | 1215952379 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 4313 W Markham St, Little Rock, AR 72205 |
| Practice phone | 501-686-9406 |
| Enumerated | July 12, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 7916P (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.