Individual
MR. GLENN WILLIAM RYER
Active
Individual
MR. GLENN WILLIAM RYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS003956L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018305480001
—
PA
Enumeration date
11/14/2006
Last updated
11/05/2013
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