Individual
DR. GLENN NOEL PAULE-CARRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
124 AMHERST ST, WINCHESTER, VA 22601-4114
(540) 667-0461
(540) 662-6334
Mailing address
PO BOX 82, WINCHESTER, VA 22604-0082
(540) 667-0461
(540) 662-6334
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810001007
VA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
0810001007
VA
103TA0700X
Adult Development & Aging Psychologist
0810001007
VA
103TB0200X
Cognitive & Behavioral Psychologist
0810001007
VA
103TC0700X
Clinical Psychologist
0810001007
VA
103TC1900X
Counseling Psychologist
0810001007
VA
103TC2200X
Clinical Child & Adolescent Psychologist
0810001007
VA
103TF0000X
Family Psychologist
0810001007
VA
103TH0100X
Health Service Psychologist
0810001007
VA
103TP2701X
Group Psychotherapy Psychologist
0810001007
VA
106H00000X
Marriage & Family Therapist
0810001007
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007716397
—
VA
01
—
029294000
MAGELLAN
—
01
—
067059
BLUE SHIELD
—
01
—
088373
SENTARA
—
01
—
225634
ALLIANCE
—
01
—
541201531
TRICARE
—
Enumeration date
08/08/2006
Last updated
10/03/2008
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