Scott Lewis Anderson, PH.D.

Individual provider Active NPI Marriage & Family Therapist · Sandy, UT

NPI 1184887770 · NPPES record last updated Jul 3, 2008

Key facts

NPI
1184887770
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
115377-3902 (UT)
Practice address
625 E 8400 S
Sandy, UT 84070-0525
Phone
(801) 566-2556
Fax
(801) 566-2557
NPI assigned
Jul 3, 2008
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
115377-3902UTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LDS Family Services Past Accepting new patients
LDS Family Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 115377-3902 UT Yes

Addresses

Primary practice location

625 E 8400 S
Sandy, UT 84070-0525

Mailing address

625 E 8400 S
Sandy, UT 84070-0525
Phone (801) 566-2556

Other providers in Sandy, UT

All providers in Sandy, UT · Marriage & Family Therapist in Utah

Sources for this page

Verify at the official NPI Registry.