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Individual

MR. SCOTT DOUGLAS GLASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
6025 BROOKVALE LN STE 205, KNOXVILLE, TN 37919-4031
(865) 310-1396
Mailing address
6025 BROOKVALE LN STE 205, KNOXVILLE, TN 37919-4031
(865) 310-1396

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P0000001161
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000087870
BLUE CROSS BLUE SHIELD
TN
01
132694000
MAGELLAN
01
16588
CIGNA BEHAVIORAL HEALTH
05
3684203
TN
01
702005698
CARITEN HEALTHCARE
01
847
PRIME PROVIDERS SYSTEM IN
Enumeration date
09/20/2006
Last updated
03/12/2026
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