# SUSAN J. ANDERSON, PSY.D., PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790181063
- **Authorized official:** DR. SUSAN JOAN ANDERSON PSY.D. (/PSYCHOLOGIST/OWNER)
- **Authorized official phone:** (913) 353-5993

## Contact information

- **Practice address:** 8500 W. 100TH STREET, 540, OVERLAND PARK, KS 66210
- **Practice address phone:** (913) 353-5993
- **Practice address fax:** (844) 800-3062
- **Mailing address:** 8500 W 110TH ST, SUITE 540, OVERLAND PARK, KS 66210-1874
- **Mailing address phone:** (913) 353-5993
- **Mailing address fax:** (844) 800-3062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 1767 | KS | Yes |

## Other

- **Enumeration date:** 11/13/2014
- **Last updated:** 11/13/2014