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Contact Information

AMANDA ANDERSON
3208 HERSHBERGER RD NW
ROANOKE, VA24017-1842
 Phone: 540-202-2399
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for AMANDA ANDERSON · (Female)

NPI # 1275298424
Status Active
Credentials
Entity Individual
Enumeration date 11/03/2021
Last updated 12/13/2023 - About 2 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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