Glen Wayne Anderson Jr., M.A., L.P.A.
NPI 1346369808ActiveIndividual· Psychologist· Wilmington, NC
Psychologist (M.A., L.P.A.) in Wilmington, North Carolina, licensed in NC, with an NPI issued in March 2007.
Overview
| NPI | 1346369808 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.A., L.P.A. |
| Sole proprietor | No |
| NPI issued | Mar 28, 2007 |
| Last updated in NPPES | Mar 16, 2020 |
| Certified by provider | Mar 16, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 2159 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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