Organization
GLENN A. ALLY, PH.D.
Active
Organization
GLENN A. ALLY, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN A ALLY PH.D., M.P. (PRESIDENT)
(337) 235-8304
Entity
Organization
Contact information
Practice address
155 HOSPITAL DR, SUITE 200, LAFAYETTE, LA 70503-2852
(337) 235-8304
(337) 235-5924
Mailing address
155 HOSPITAL DR, SUITE 200, LAFAYETTE, LA 70503-2852
(337) 235-8304
(337) 235-5924
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
378MP
LA
103TB0200X
Cognitive & Behavioral Psychologist
Primary
378MP
LA
103TC0700X
Clinical Psychologist
378MP
LA
103TP0016X
Prescribing (Medical) Psychologist
378MP
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1969559
—
LA
Enumeration date
04/10/2007
Last updated
09/11/2025
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