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Organization

CHAD GLANG, PHD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHAD GLANG PHD LLC (OWNER)
(719) 633-4845
Entity
Organization

Contact information

Practice address
317 E SAN RAFAEL ST, COLORADO SPRINGS, CO 80903-2405
(719) 633-4845
(719) 634-2563
Mailing address
317 E SAN RAFAEL ST, COLORADO SPRINGS, CO 80903-2405
(719) 633-4845
(719) 634-2563

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
873
CO

Other

Enumeration date
01/10/2012
Last updated
06/12/2012
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