Individual
DR. GLENN THOMAS BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1700 CACAPON CT, VIRGINIA BEACH, VA 23454-6713
(814) 528-2512
Mailing address
4000 STERRETTANIA RD, ERIE, PA 16506-4125
(814) 454-4285
(814) 520-8490
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS005734L
PA
Other
Enumeration date
12/26/2006
Last updated
01/28/2025
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