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DR. OTIS ANDERSON M.D. NPI 1932321742


NPI Information

NPI: 1932321742
Provider Name: DR. OTIS ANDERSON, M.D.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
5185 GETWELL RD
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 893-6300
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DR. Otis Anderson, M.D. is a child and adolescent psychiatry psychiatry neurology in Southaven, MS. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Otis Anderson, M.D. NPI is 1932321742. 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:

5185 GETWELL RD
SOUTHAVEN, MS
ZIP 38671-691
Phone: (662) 893-6300

The enumeration date for this NPI number is 5/2/2007 and was last updated on 10/13/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry21754MISSISSIPPIYes

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

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