Individual
GLENN MICHAEL MEREPITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BEHAVIOR CLINICIAN
Contact information
Practice address
421 E ALLEN ST, BLOOMINGTON, IN 47401
(812) 360-6998
Mailing address
421 E ALLEN ST, BLOOMINGTON, IN 47401
(812) 360-6998
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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