Individual
DR. SCOTT E ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1120 TOPSIDE RD, LOUISVILLE, TN 37777-5502
(865) 805-9327
Mailing address
PO BOX 717, LOUISVILLE, TN 37777-0717
(865) 805-9327
(865) 379-9663
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P0000001394
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3683222
—
TN
Enumeration date
07/21/2006
Last updated
07/09/2007
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