National Provider Identifier Database

NICOLE P ANDERSON, PHD – NPI #1730126343
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

NICOLE P ANDERSON, PHD
6501 4TH ST NW
F4
LOS RANCHOS DE ALBUQUERQUE, NM87107-5800
Phone: 505-344-9641
Fax: 505-344-2621
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for NICOLE P ANDERSON

NPI Number 1730126343
Credentials PHD
Entity Individual
Enumeration date 06/01/2006
Last updated 06/20/2014 - About 12 years ago
Sole proprietor1 Yes
Identifiers
  • NM License #: 0976
  • NM Medicaid: 39703754
Hospital affiliation n/a

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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