Individual
DR. JEANNE E. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
606 WALTER REED DR STE B, GREENSBORO, NC 27403-1114
(336) 547-1574
(336) 323-5247
Mailing address
606 WALTER REED DR STE B, GREENSBORO, NC 27403-1114
(336) 547-1574
(336) 323-5247
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2212
NC
103TC0700X
Clinical Psychologist
2212
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790966729
—
NC
Enumeration date
11/19/2007
Last updated
11/27/2018
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