Individual
DR. GLEN P VOLLENWEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
861 N DEAN RD STE D, AUBURN, AL 36830-9421
(334) 887-4343
(334) 887-5656
Mailing address
861 N DEAN RD STE D, AUBURN, AL 36830-9421
(334) 887-4343
(334) 887-5656
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1167
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-19144
BCBS OF ALABAMA
AL
05
—
529909220
—
AL
01
—
530 742000
MAGELLAN
—
05
—
890012250
—
AL
Enumeration date
09/20/2006
Last updated
04/03/2012
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