NPI 1275366734 · live from the CMS NPI Registry
Jenna Dawn Ellen Anderson
Psychologist, School in Midlothian, VA. National Provider Identifier 1275366734, active.
NPI record
| NPI | 1275366734 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, School 103TS0200X |
| Practice location | 13900 Hull Street Rd, Midlothian, VA 23112 |
| Practice phone | 804-639-8900 |
| Enumerated | August 21, 2024 |
| Last updated | August 21, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, School primary | 103TS0200X | PPS-0607457 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.