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Contact Information

GARY ANDERSON, M.A.
1200 HAMILTON BLVD
PEORIA, IL61606-1525
 Phone: 309-637-1696
 Fax: 309-589-7981
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for GARY ANDERSON · (Female)

NPI # 1457692279
Status Active
Credentials M.A.
Entity Individual
Enumeration date 03/04/2013
Last updated 03/04/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 180003875
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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