Individual
DR. GLENN ELIOT LAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
500 N 9TH ST, SUITE A, MODESTO, CA 95350-5814
(209) 558-4598
Mailing address
500 N 9TH ST, SUITE A, MODESTO, CA 95350-5814
(209) 558-4598
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY13080
CA
Other
Enumeration date
01/16/2007
Last updated
06/28/2013
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