Individual
DR. PAUL W. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8216 W 113TH TER, OVERLAND PARK, KS 66210-2425
(913) 991-2302
Mailing address
8216 W 113TH TER, OVERLAND PARK, KS 66210-2425
(913) 991-2302
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
054
KS
103T00000X
Psychologist
1260
KS
103TC1900X
Counseling Psychologist
Primary
1260
KS
Other
Enumeration date
06/28/2006
Last updated
03/11/2020
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