Individual
DR. GLORY FOX DIERKER
Active
Individual
DR. GLORY FOX DIERKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
07010001557
VA
103TC0700X
Clinical Psychologist
Primary
0810002996
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0972793
AETNA
—
01
—
141701
ANTHEM BCBS
—
01
—
149749000
DEPARTMENT OF LABOR
—
01
—
2122848
MAMSI
—
01
—
2129080
FIRST HEALTH
—
01
—
28110004
ARLINGTON EAP PROVIDERS
—
01
—
2811004
CAREFIRST
VA
01
—
4481805
AETNA
—
01
—
461335000
MAGELLAN
—
01
—
541521659
AMERICAN BEHAVIORAL HLTH
—
05
—
7713690
—
VA
Enumeration date
11/20/2006
Last updated
02/26/2019
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