Paul Franklin Anders III, PH.D.
Individual provider Active NPI Clinical Psychologist · Fairfax, VA
NPI 1790966935 · NPPES record last updated Nov 15, 2007
Key facts
- NPI
- 1790966935
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 0810003471 (VA)
- Practice address
- 9901 Braddock Rd
Fairfax, VA 22032-1904 - Phone
- (703) 764-6165
- NPI assigned
- Nov 15, 2007
- Sex
- Male
- 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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810003471 | VA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810003471 | VA | Yes |
Addresses
Primary practice location
9901 Braddock Rd
Fairfax, VA 22032-1904
Mailing address
6239 Summer Pond Dr Apt H
Centreville, VA 20121-4632
Phone (703) 618-4828
Other providers in Fairfax, VA
- Ams Medical Transport Inc
- Sofia K Anagnos
- Kanchan Anand
- Patricia Joiner Anastasia
- Judith Andai
- Glenna R Andersen
- Taylor Nicole Andersen
- Brian D Anderson
- Danielle Elizabeth Anderson
- Darla A. Anderson
All providers in Fairfax, VA · Clinical Psychologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 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.