Debra L. Anderson, PH.D., P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1650 Issued in CO

Legal business name

DEBRA L. ANDERSON, PH.D., P.C.

Practice address

954 North St
Suite 308
Boulder, CO 80304-3307

Phone

(720) 565-2544

Fax

(720) 565-8444

NPI assigned

May 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Debra L. Anderson, PH.D.

Title

Licensed Psychologist

Phone

(720) 565-2544

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134337330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 NORTH ST",
            "address_2": "SUITE 308",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043307",
            "telephone_number": "720-565-2544",
            "fax_number": "720-565-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 NORTH ST",
            "address_2": "SUITE 308",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043307",
            "telephone_number": "720-565-2544",
            "fax_number": "720-565-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA L. ANDERSON, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "720-565-2544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathon Leigh Dean
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• Christopher Decarlo
• Jennifer Decarlo, NP-C
• Betsy Decastro, M.A., L.P.C.
• Decker Family Chiropractic, Inc.
• Karen E. Declerk, MA, LPC

• Clinical Psychologist in Boulder, CO
• Providers in Boulder, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.