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Individual

GLENN ALLEN TOPLYN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
30901 PALMER RD, WESTLAND, MI 48186-9529
(734) 367-8529
Mailing address
4955 HICKORY POINTE BLVD, YPSILANTI, MI 48197-6811
(734) 367-8529

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
009612
NY
103TC0700X
Clinical Psychologist
Primary
6301013186
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1508883299
WRPH
MI
Enumeration date
05/24/2006
Last updated
08/08/2007
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