Individual
JOHN GLANVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
467 CREAMERY WAY, EXTON, PA 19341-2508
(610) 363-1488
Mailing address
467 CREAMERY WAY, EXTON, PA 19341-2508
(610) 363-1488
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS017408
PA
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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