Individual
DR. GLEN D KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1520 MULBERRY ST, MONTGOMERY, AL 36106-1520
(334) 269-1106
(334) 832-9557
Mailing address
1520 MULBERRY ST, MONTGOMERY, AL 36106-1520
(334) 269-1106
(334) 832-9557
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
137
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70974KIN
70974KIN
AL
Enumeration date
12/15/2006
Last updated
07/08/2007
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