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Contact Information

CORNELL W ANDERSON, M.A.
325 E PIONEER AVE
PUYALLUP, WA98372
 Phone: 253-697-8400
 Fax: 253-697-3730
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for CORNELL W ANDERSON · (Male)

NPI Number 1063786234
Status Active
Credentials M.A.
Entity Individual
Enumeration date 03/05/2012
Last updated 06/23/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WA License # LH61019298
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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