Individual
SCOTT ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
120 E FLETCHER AVE, STE 100, TAMPA, FL 33612-3407
(813) 978-1300
(813) 972-5395
Mailing address
120 E FLETCHER AVE, STE 100, TAMPA, FL 33612-3407
(813) 978-1300
(813) 972-5395
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
2530
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510429195
TAX ID
FL
Enumeration date
07/28/2005
Last updated
03/04/2016
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