Sandra Sue Anderson, MED. L.P.C.
Individual provider Active NPI Professional Counselor · Mesa, AZ
NPI 1073676094 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1073676094
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC0552 (AZ)
- Practice address
- 3660 E University Dr Ste 6B
Mesa, AZ 85205-6960 - Phone
- (480) 540-8477
- Fax
- (480) 654-9860
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC0552 | AZ | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC0552 | AZ | Yes |
Addresses
Primary practice location
3660 E University Dr Ste 6B
Mesa, AZ 85205-6960
Mailing address
549 E McKellips Rd Lot 19
Mesa, AZ 85203-2552
Phone (480) 644-0443
Other providers in Mesa, AZ
- Lauren L Anderson
- Mark William Anderson
- Nicolette Roshanda Anderson
- R Samuel Anderson
- Sadie Anderson
- Weston Taylor Anderson
- Andersons Nutrition
- Robert Anderton
- Omar Antonio Andino-Ortega
- Josseline Andrade Carrillo
All providers in Mesa, AZ · Professional Counselor in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.