Individual
SCOTT H GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2828 KRAFT AVE SE STE 186, GRAND RAPIDS, MI 49512-2076
(616) 949-9550
(616) 949-9551
Mailing address
1436 HOUSEMAN AVE NE, GRAND RAPIDS, MI 49505-5236
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008665
MI
103TC0700X
Clinical Psychologist
Primary
6301018895
MI
Other
Enumeration date
05/28/2013
Last updated
03/27/2026
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