Individual
BRIAN GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 BROOKLINE AVE, YOUNGSTOWN, OH 44505-2531
(330) 719-5829
Mailing address
20 BROOKLINE AVE, YOUNGSTOWN, OH 44505-2531
(330) 719-5829
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
LSP.02439
OH
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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