Glen Wayne Anderson in Wilmington - Psychologist
Glen Wayne Anderson - NPI 1346369808
Glen Wayne Anderson is a Psychologist in Wilmington, North Carolina. Glen Wayne Anderson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Glen Wayne Anderson is 1346369808. The last update date is 2020-03-16.
Glen Wayne Anderson's current location address is 1650 Greenfield St, Wilmington, North Carolina. You can contact this provider via phone number 9107983500 and fax number 9107987834. The mailing address for Glen Wayne Anderson is 1650 Greenfield St, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen Wayne Anderson |
|---|---|
| Address | 1650 Greenfield St, Wilmington, North Carolina |
| Phone Number | 9107983500 |
| Fax Number | 9107987834 |
| Sole Proprietor | N |
| Credentials | M.A., L.P. |
NPI Number Detail
| NPI Number | 1346369808 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2020-03-16 |
Provider Mailing Address Detail
| Address | 1650 Greenfield St |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284016456 |
| Phone Number | 9107983500 |
| Fax Number | 9107987834 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 2159 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6107247 | NC | -- | |
| 046AE | NC | BLUE CROSS BLUE SHIELD |
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What is the unique 10-digit identifier code issued to Glen Wayne Anderson by the Centers for Medicare & Medicaid Services?
The Glen Wayne Anderson has been assigned the NPI (National Provider Identifier) 1346369808 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Glen Wayne Anderson located?
The Glen Wayne Anderson is located at 1650 Greenfield St, Wilmington, NC 284016456.
What is the Glen Wayne Anderson's area of specialization and corresponding taxonomy classification?
The Glen Wayne Anderson's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
When was the Glen Wayne Anderson's 1346369808 issued?
The Glen Wayne Anderson's 1346369808 was issued on 2007-03-28.
When was the information related to Glen Wayne Anderson most recently updated or refreshed?
The details pertaining to the Glen Wayne Anderson, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-03-16.
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