Anderson, Jeanne E.

Anderson, Jeanne E. is an individual health care provider with primary practice located at 606 Walter Reed Dr Ste B , Greensboro NC 27403-1114. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Anderson, Jeanne E. can be contacted via phone (336) 547-1574.

Contact Information

Primary practice address
606 Walter Reed Dr Ste B Greensboro NC 27403-1114
Phone: (336) 547-1574
Fax: (336) 323-5247
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2212 North Carolina
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2212 North Carolina

Profile Details

NPI number 1790966729
LBN Legal business name Anderson, Jeanne E.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2007
Last updated Nov 27th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790966729 NPPES
North Carolina MEDICAID 1790966729

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