NPI 1366824096

Jean Anderson, PSYD

Practitioner Clinical Psychologist Pago Pago, AS

Practice location

Address: 552 Fagaima Road, Pago Pago, AS 96799
Phone: (684) 252-7455
Mailing address: PO Box 552 Fagaima Road, Pago Pago, AS 96799-0552

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 4047-A (AS)

Other Psychologist providers in American Samoa →

Registry record

NPI: 1366824096
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jun 2015
Record last updated: 18 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.