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Contact Information

ELIZABETH ANDERSON, PCA
5010 UNSELD BLVD
LOUISVILLE, KY40218-3836
 Phone: 502-479-5699
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Private Vehicle

347C00000X
Indicates primary specialty

NPI Profile & details for ELIZABETH ANDERSON · (Female)

NPI Number 1003255340
Status Active
Credentials PCA
Entity Individual
Enumeration date 06/20/2013
Last updated 12/08/2015 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # A63489901
  • VA License # E026044
  • VA Medicaid E026044
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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