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Contact Information

EVAN J ANDERSON, PHD
1204 W MAIN ST
CHARLOTTESVILLE, VA22903-2824
 Phone: 434-924-8184
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for EVAN J ANDERSON · (Male)

NPI # 1134765159
Status Active
Credentials PHD
Entity Individual
Enumeration date 11/25/2019
Last updated 07/11/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # PS-P00257
  • VA License # 0810008529
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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