Individual
DR. GLEN DAVID SKOLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
250 W PLUMSTEAD AVE, LANSDOWNE, PA 19050-1308
(240) 605-2988
(484) 461-9371
Mailing address
250 W PLUMSTEAD AVE, LANSDOWNE, PA 19050-1308
(240) 605-2988
(484) 461-9371
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
02989
MD
103TC0700X
Clinical Psychologist
Primary
TPS030034
PA
103TF0200X
Forensic Psychologist
02989
MD
103TF0200X
Forensic Psychologist
TPS030034
PA
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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