DR. TERENCE NEAL ANDERSON PH.D. NPI 1275614869

NPI Information

NPI: 1275614869
Provider Name: DR. TERENCE NEAL ANDERSON, PH.D.
Classification: Psychologist - 103TH0100X
Entity Type: Individual

Specialization: Health Service

Address:
318 PINE LAKE AVE
LA PORTE, IN
ZIP 46350
Phone: (219) 324-6263
Get Directions

DR. Terence Neal Anderson, PH.D. is a health service psychologist in La Porte, IN. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). DR. Terence Neal Anderson, PH.D. NPI is 1275614869. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

318 PINE LAKE AVE
LA PORTE, IN
ZIP 46350-061
Phone: (219) 324-6263
Fax: (219) 324-6263

The enumeration date for this NPI number is 10/18/2006 and was last updated on 1/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103T00000X	Psychologist		20010366 HSPP	INDIANA	No
2	103TC0700X	Psychologist	Clinical	20010366 HSPP	INDIANA	No
3	103TH0100X	Psychologist	Health Service	20010366 HSPP	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000183576	OTHER	INDIANA	BLUE CROSS
2	010676	OTHER	INDIANA	VALUE OPTION
3	179540 AH	MEDICARE ID-TYPE UNSPECIFIED	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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