Individual
DR. GLENN EARLE MCCLELLAN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
14751 PLAZA DR, SUITE F, TUSTIN, CA 92780-2702
(714) 289-8876
(714) 544-4472
Mailing address
7423 E BLACKBERRY CV, ORANGE, CA 92869-4518
(714) 289-8876
(714) 544-4472
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY14169
CA
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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