Active NPIIndividual provider

Dr. Ronald D Anderson, PHD

Psychologist, Clinical in Willimantic, Connecticut

NPI Number1679578686
Practice location
21 Church St, Willimantic, CT 06226-2644
Fax
—
Last updated
July 8, 2007

Ronald Douglas Anderson is a Psychologist, Clinical based in Willimantic, CT. Ronald Douglas Anderson practices in Willimantic, CT and has the professional credentials of PHD. The NPI Number for Ronald Douglas Anderson is 1679578686 and holds a License No. 001296 (CT). The current practice location address for Ronald Douglas Anderson is 21 Church St, Willimantic, CT 06226-2644 and can be reached out via phone at 860-456-4442.

Provider Profile Details

NPI Number
1679578686
Provider Name
Ronald Douglas Anderson
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
21 Church St, Willimantic, CT 06226-2644
Phone Number
860-456-4442
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
June 16, 2005
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Church St
Willimantic, CT 06226-2644
Zip
06226-2644
Phone Number
860-456-4442
Willimantic, CT 06226Get directions →

Provider Business Mailing Address Details

Address
Po Box 301
Mansfield Center, CT 06250-0301
City
Mansfield Center
State
CT
Zip
06250-0301
Phone Number
860-487-1641
Fax Number
860-456-4068

License Information

License Number
001296
License State
CT
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ronald D Anderson, PHD?

The NPI number of Dr. Ronald D Anderson, PHD is 1679578686. It was assigned on June 16, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Ronald D Anderson, PHD?

Dr. Ronald D Anderson, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 001296.

Where does Dr. Ronald D Anderson, PHD practice?

The practice location is 21 Church St, Willimantic, CT 06226-2644. The office can be reached at 860-456-4442 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679578686 directly on the NPPES registry website.

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