Individual
MR. GLENN MURRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYCH. TECH.
Contact information
Practice address
1701 W KANAI AVE, PORTERVILLE, CA 93257-1873
(559) 782-8136
Mailing address
28505 HIGHWAY 190, PORTERVILLE, CA 93257-9616
(559) 791-9298
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT30578
CA
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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