Individual
DR. GLENN JOSEPH BRICKEN
Active
Individual
DR. GLENN JOSEPH BRICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
16836
TX
103TC0700X
Clinical Psychologist
Primary
24595
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098942801
—
TX
01
—
680003046
RAILROAD MEDICARE PIN
TX
01
—
81527P
BCBSTX PIN
TX
Enumeration date
03/16/2006
Last updated
02/20/2024
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