Individual
ROBERT NORMAN GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
9376 ATLEE STATION RD, HANOVER FAMILY PHYSICIANS PC, MECHANICSVILLE, VA 23116
(804) 730-0990
(804) 730-8752
Mailing address
9376 ATLEE STATION RD, HANOVER FAMILY PHYSICIANS PC, MECHANICSVILLE, VA 23116
(804) 730-0990
(804) 730-8752
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000798
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07701241
—
VA
Enumeration date
08/15/2006
Last updated
10/19/2007
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