Provider Demographics
NPI:1033391669
Name:ANDERSON, DELL A (MED, LMHC, CMHS)
Entity Type:Individual
Prefix:MR
First Name:DELL
Middle Name:A
Last Name:ANDERSON
Suffix:
Gender:M
Credentials:MED, LMHC, CMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4416 PARLEY DR
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-7124
Mailing Address - Country:US
Mailing Address - Phone:509-545-0860
Mailing Address - Fax:509-545-0861
Practice Address - Street 1:552 N COLORADO ST
Practice Address - Street 2:#106
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7779
Practice Address - Country:US
Practice Address - Phone:509-545-0860
Practice Address - Fax:509-545-0861
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-05
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health