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Individual

GLENN SCOTT MIDDLETON

Active
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Individual

GLENN SCOTT MIDDLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
3429
OH
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
AD003542
OH

Other

Enumeration date
12/23/2005
Last updated
07/13/2026
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