1437482098 NPI number — MRS. HARRIET R ANDERSON LMFT

Table of content: MRS. HARRIET R ANDERSON LMFT (NPI 1437482098)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437482098 NPI number — MRS. HARRIET R ANDERSON LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ANDERSON
Provider First Name:
HARRIET
Provider Middle Name:
R
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ANDERSON
Provider Other First Name:
HARRIET
Provider Other Middle Name:
R
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1437482098
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/05/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
44349 LOWTREE AVE STE 108
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LANCASTER
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93534-4104
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-524-9115
Provider Business Mailing Address Fax Number:
661-522-7833

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
44349 LOWTREE AVE
Provider Second Line Business Practice Location Address:
STE 108
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93534-4104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-524-9115
Provider Business Practice Location Address Fax Number:
661-522-7833
Provider Enumeration Date:
09/15/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  84065 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)