Dr Jack Glenn Anderson, PHD - Psychologist in Pasadena, CA

Dr Jack Glenn Anderson, PHD is a Psychologist - Clinical based in Pasadena, California. Dr Jack Glenn Anderson is licensed to practice in California (license number PSY10819) and his current practice location is 200 E Del Mar Blvd, Suite 122, Pasadena, California. He can be reached at his office (for appointments etc.) via phone at (626) 792-8922.

NPI number for Dr Jack Glenn Anderson is 1134330947 and his current mailing address is 200 E Del Mar Blvd, Suite 122, Pasadena, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134330947.

Contact Information

Dr Jack Glenn Anderson, PHD
200 E Del Mar Blvd, Suite 122,
Pasadena, CA 91105-2544
(626) 792-8922
(626) 792-6504

Map and Direction




Healthcare Provider's Profile

Full NameDr Jack Glenn Anderson
GenderMale
SpecialityPsychologist - Clinical
Location200 E Del Mar Blvd, Pasadena, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134330947
  • Provider Enumeration Date: 05/24/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Jack Glenn Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134330947NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY10819 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jack Glenn Anderson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jack Glenn Anderson, PHD
200 E Del Mar Blvd, Suite 122,
Pasadena, CA 91105-2544

Ph: (626) 792-8922
Dr Jack Glenn Anderson, PHD
200 E Del Mar Blvd, Suite 122,
Pasadena, CA 91105-2544

Ph: (626) 792-8922

Reviews and Comments


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