Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Glen Wayne Anderson Jr., MA, LPA

Individual provider Psychologist · NPI 1346369808

Mr. Glen Wayne Anderson Jr., MA, LPA is a Psychologist in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

1650 Greenfield St
Wilmington, NC 28401-6456
Phone: (910) 798-3500
Fax: (910) 798-7834
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 2159 (NC)

Record details

NPI number1346369808
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LPA
Sole proprietorNo
NPI enumeratedMarch 28, 2007
Last updated in NPPESMarch 16, 2020
Certification dateMarch 16, 2020

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