Healthcare Provider Details

I. General information

NPI: 1346515913
Provider Name (Legal Business Name): LENA RIVERA ANDERSON PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2012
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 S CONGRESS AVE
ATLANTIS FL
33462-1149
US

IV. Provider business mailing address

2450 FONDREN RD STE 312
HOUSTON TX
77063-2323
US

V. Phone/Fax

Practice location:
  • Phone: 713-789-7560
  • Fax: 713-789-7351
Mailing address:
  • Phone: 713-789-7560
  • Fax: 713-789-7351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY24497
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY10728
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY10728
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: