Individual
DR. KYLE ALAN GLASGOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, LP
Contact information
Practice address
26105 ORCHARD LAKE RD, STE 204, FARMINGTON HILLS, MI 48334-4576
(313) 296-1779
(248) 957-8544
Mailing address
26105 ORCHARD LAKE RD, STE 204, FARMINGTON HILLS, MI 48334-4576
(313) 296-1779
(248) 957-8544
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012482
MI
103TA0700X
Adult Development & Aging Psychologist
6301012482
MI
103TC0700X
Clinical Psychologist
6301012482
MI
Other
Enumeration date
09/03/2008
Last updated
08/29/2015
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