Dr Jean Anderson, PSYD is a
Psychologist - Clinical based in Pago Pago, American Samoa. Dr Jean Anderson is licensed to practice in American Samoa (license number 4047-A) and her current practice location is
552 Fagaima Road, Pago Pago, American Samoa. She can be reached at her office (for appointments etc.) via phone at
(684) 252-7455.
NPI number for Dr Jean Anderson is 1366824096 and her current mailing address is Po Box 552, Fagaima Road, Pago Pago, American Samoa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366824096.
Healthcare Provider's Profile
Full Name | Dr Jean Anderson |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 552 Fagaima Road, Pago Pago, American Samoa |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366824096
- Provider Enumeration Date: 06/18/2015
- Last Update Date: 06/18/2015
Medical Identifiers
Medical identifiers for Dr Jean Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366824096 | NPI | - | NPPES |
4047-A | Other | AS | HEALTH REGULATORY BOARD LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 4047-A (American Samoa) | 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 Jean 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 Address | Practice Location Address |
Dr Jean Anderson, PSYD Po Box 552, Fagaima Road, Pago Pago, AS 96799-0552 Ph: (684) 252-7455 | Dr Jean Anderson, PSYD 552 Fagaima Road, Pago Pago, AS 96799 Ph: (684) 252-7455 |
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