Individual
DR. GLENN THOMPSON TEETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
800 MENLO AVE STE 121, MENLO PARK, CA 94025-4732
(650) 209-0981
Mailing address
800 MENLO AVE STE 121, MENLO PARK, CA 94025-4732
(650) 209-0981
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
24732
CA
Other
Enumeration date
05/30/2007
Last updated
09/02/2020
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