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Individual
DR. GLENN REEDER
Active
Individual
DR. GLENN REEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS005055L
PA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS005055L
PA
Other
Enumeration date
06/12/2006
Last updated
02/02/2012
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