Individual
DR. DEVAN G GLISSMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
382 WEST MAIN STREET, DUCHESNE, UT 84021
(435) 738-2040
Mailing address
382 WEST MAIN STREET, DUCHESNE, UT 84021
(435) 738-2040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4989891-3902
UT
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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