Individual
DR. CARL BRUCE GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
JAMES H. QUILLEN VA MEDICAL CENTER, MOUNTAIN HOME, TN 37684-6000
(423) 926-1171
Mailing address
521 SHARON DR, JOHNSON CITY, TN 37604-1953
(423) 282-1923
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P687
TN
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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