National Provider Identifier Database

JEAN ANDERSON, PSYD – NPI #1366824096
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

JEAN ANDERSON, PSYD
552 FAGAIMA ROAD
PAGO PAGO, AS96799
Phone: 684-252-7455
Fax:
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for JEAN ANDERSON

NPI Number 1366824096
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 06/18/2015
Last updated 06/18/2015 - About 11 years ago
Sole proprietor1 Yes
Identifiers
  • AS License #: 4047-A
  • AS Other: 4047-A HEALTH REGULATORY BOARD LICENSE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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