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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. EVAN TULLIS ANDERSON, LMSW

Active Sole Proprietor

MR. EVAN TULLIS ANDERSON, LMSW is a Clinical Social Worker healthcare provider located in MERIDIAN, Idaho. NPI 1780105767 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · MERIDIAN, ID

Registration Details

NPI Number
1780105767
Provider Type
Individual
Gender
Male
NPI Issued
Jun 29, 2017 (9.0849799250006 yrs)
Last Updated
Jun 29, 2017
License
34856 (ID)
Sole Proprietor
Yes

Practice Information

Address
2825 S MERIDIAN RD STE 150
MERIDIAN, ID, 836427960
Browse ID providers · Browse ZIP 83642
Phone
2082979495
Fax
2089552490
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in MERIDIAN, ID

Name Credential NPI
ANTHONY JOSEPH SALKAS MSW 1568423044
TERESA ARANA-WOOD LCSW 1558474981
ALAN J. LESCHINSKI LCSW 1780775882
THERESA LEA NIEDERKRUGER LCSW 1316020779
MRS. LISA MARIE MANERY LCSW 1235216466
GARY W LEE LCSW 1003963638
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.