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Contact Information

KEITH J ANDERSON, PhD
110 8TH ST.
TROY, NY12180
 Phone: 518-276-6479
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

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

NPI Number 1174654917
Status Active
Credentials PhD
Entity Individual
Enumeration date 03/07/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 0130081
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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