Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Carol V Anderson, PHD

Individual provider Clinical Psychologist · NPI 1396878401

Dr. Carol V Anderson, PHD is a Clinical Psychologist in Idaho Falls, Idaho. Qualified in 1996, 30 years ago. Licensed in Idaho.

Years since qualifying
30
Licensed in
ID
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2060 E 25th St
Idaho Falls, ID 83404-6490
Phone: (208) 522-3404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY-202288 (ID)

Record details

NPI number1396878401
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 14, 2007
Last updated in NPPESFebruary 6, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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