Individual
DR. GLENN PHILLIP HIRSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2239 CARTER AVE # 204, SAINT PAUL, MN 55108-1638
(612) 866-0955
(612) 624-0207
Mailing address
3721 E 26TH ST, MINNEAPOLIS, MN 55406-1730
(612) 866-0955
(612) 624-0207
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1068
MN
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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