Heidi Anderson, MFT - INTERN

Individual provider Active NPI Marriage & Family Therapist · Sparks, NV

NPI 1003628108 · NPPES record last updated Jan 24, 2025

Key facts

NPI
1003628108
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MI4466 (NV)
Practice address
1055 Roberta LN Ste 103
Sparks, NV 89431-2821
Phone
(775) 356-0371
NPI assigned
Jan 24, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MI4466NVMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MI4466 NV Yes

Addresses

Primary practice location

1055 Roberta LN Ste 103
Sparks, NV 89431-2821

Mailing address

1055 Roberta LN Ste 103
Sparks, NV 89431-2821
Phone (775) 356-0371

Other providers in Sparks, NV

All providers in Sparks, NV · Marriage & Family Therapist in Nevada

Sources for this page

Verify at the official NPI Registry.