Individual
DR. GLENN E. KNOWLTON
Active
Individual
DR. GLENN E. KNOWLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
210
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16921
—
ND
01
—
21784
BLUECROSS/SHIELD -NO DAK
ND
01
—
266S4KN
BLUE CROSS/SHIELD-MINNESO
MN
01
—
475441026976
PREFERRED ONE
—
01
—
61-77289
MEDICA (UBH)
—
05
—
660352100
—
MN
01
—
HP22979
HEALTHPARTNERS
—
Enumeration date
01/23/2006
Last updated
01/29/2008
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