Organization
BOB ANDERSON, PH.D., PC
Active
Other names
Solutions by the Lake
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J ANDERSON PH.D. (PRESIDENT-LICENSED PSYCHOLOGIST)
(704) 892-5788
Entity
Organization
Contact information
Practice address
710 NORTHEAST DR, SUITE 11, DAVIDSON, NC 28036-7427
(704) 892-5788
(704) 892-5799
Mailing address
710 NORTHEAST DR, SUITE 11, DAVIDSON, NC 28036-7427
(704) 892-5788
(704) 892-5799
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1891
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101417000
MAGELLAN HEALTH SERVICES
NC
01
—
102698
MHN
NC
01
—
386715
MAMSI
NC
05
—
6000290
—
NC
01
—
6165368
UNITED BEHAVIORAL HEALTH
NC
01
—
965120
COVENTRY HC-FIRST HEALTH
NC
Enumeration date
03/06/2007
Last updated
02/01/2012
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