Provider Demographics
NPI:1538483169
Name:JANE YU ANDERSON PHD RD LCSW INC
Entity Type:Organization
Organization Name:JANE YU ANDERSON PHD RD LCSW INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANE
Authorized Official - Middle Name:YU
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:626-679-0435
Mailing Address - Street 1:1126 FAIRVIEW AVE
Mailing Address - Street 2:#106
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-7055
Mailing Address - Country:US
Mailing Address - Phone:626-300-8769
Mailing Address - Fax:626-308-0683
Practice Address - Street 1:320 S GARFIELD AVE
Practice Address - Street 2:#206
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-3886
Practice Address - Country:US
Practice Address - Phone:626-679-0435
Practice Address - Fax:626-308-0683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-25
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 21366251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health