NPI 1790966935 · live from the CMS NPI Registry
Paul Franklin Anders, Ph.D.
Psychologist, Clinical in Fairfax, VA. National Provider Identifier 1790966935, active.
NPI record
| NPI | 1790966935 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 9901 Braddock Rd, Fairfax, VA 22032 |
| Practice phone | 703-764-6165 |
| Mailing address | 6239 Summer Pond Dr Apt H, Centreville, VA 20121 |
| Enumerated | November 15, 2007 |
| Last updated | November 15, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 0810003471 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.