Individual
ALISON LYNN GLANVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
29 FRANKLIN ST, BANGOR, ME 04401-4909
(207) 942-3816
(207) 561-4725
Mailing address
29 FRANKLIN ST, BANGOR, ME 04401-4909
(207) 942-3816
(207) 561-4725
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS1272
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432786799
—
ME
Enumeration date
07/16/2008
Last updated
10/28/2009
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