Individual
MR. GLENN LOUIS KLUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
2225 OLD EMMORTON RD STE 210, BEL AIR, MD 21015-6123
(410) 515-4900
Mailing address
2225 OLD EMMORTON RD STE 210, BEL AIR, MD 21015-6123
(410) 515-4900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07320
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419800000
—
MD
Enumeration date
01/23/2019
Last updated
01/23/2019
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