Most Relevant Information
Provider Data
| NPI Number: | 1003255340 |
| Provider Name: | ELIZABETH ANDERSON PCA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | E026044 |
Most Important Dates
| Enumeration Date: | 06/20/2013 |
| Last Updated: | 12/08/2015 |
Provider Practice Location
5010 UNSELD BLVD
LOUISVILLE
KY
402183836
Practice Location Phone/Fax
| Phone: | 5024795699 |
| Fax: |
Provider Mailing Location
3030 KIM DR
NORTH CHESTERFIELD
VA
232245643
Provider Mailing Phone/Fax
| Phone: | 5024358295 |
| Fax: |