Individual
MR. THEODORE ALAN GLANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
936 SHARPE HOSPITAL RD, WESTON, WV 26452-8550
(304) 269-1210
(304) 269-0502
Mailing address
936 SHARPE HOSPITAL RD, WESTON, WV 26452-8550
(304) 269-1210
(304) 269-0502
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
318
WV
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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