Provider Demographics
NPI:1730495045
Name:ANDERSON, JANEAN M (PHD)
Entity Type:Individual
Prefix:
First Name:JANEAN
Middle Name:M
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1777 S BELLAIRE ST
Mailing Address - Street 2:SUITE 450
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4306
Mailing Address - Country:US
Mailing Address - Phone:720-515-4244
Mailing Address - Fax:720-411-0448
Practice Address - Street 1:1777 S BELLAIRE ST
Practice Address - Street 2:SUITE 450
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4306
Practice Address - Country:US
Practice Address - Phone:720-515-4244
Practice Address - Fax:720-441-0448
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO48G25951724103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling