Lee Anderson, PHD
Individual provider Active NPI Psychologist · Chadds Ford, PA
NPI 1164554804 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164554804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PS008607L (PA)
- Practice address
- 260 Kennett Pike
Chadds Ford, PA 19317 - Phone
- (610) 388-1920
- Fax
- (610) 388-6617
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2021 through Apr 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BI0000376 | DE | MD | Psychologist |
| PS008607L | PA | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS008607L | PA | Yes |
| Psychologist | 103T00000X | BI0000376 | DE |
Addresses
Primary practice location
260 Kennett Pike
Chadds Ford, PA 19317
Mailing address
260 Kennett Pike
Chadds Ford, PA 19317
Phone (610) 388-1920
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All providers in Chadds Ford, PA · Psychologist in Pennsylvania
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.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.