Dr. Evan Joseph Anderson
Clinical Child & Adolescent Psychologist
1201 Burleyson Rd
Dalton
, Georgia 30720-3028
Dr. Evan Joseph Anderson
Clinical Child & Adolescent Psychologist
1201 Burleyson Rd
Dalton
, Georgia 30720-3028
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Evan Joseph Anderson
- 1201 Burleyson Rd
- Dalton, GA
- Zip : 30720
- Phone :
Second Address
- Dr. Evan Joseph Anderson
- 1201 Burleyson Rd
- Dalton, GA
- Zip : 30720-3028
- Phone : (706) 226-8900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PS-P00257 | GA |
National Provider Identifier
| NPI | 1134765159 |
|---|---|
| Provider Name | Dr. Evan Joseph Anderson |
| First Address | Dalton, GA 30720 |
| Second Address | Dalton, GA 30720-3028 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/11/2019 |
| Last Update Date | 25/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.