Organization
DENISE GLANVILLE, LLC
Active
Organization
DENISE GLANVILLE, LLC
Active
Other names
Wellspring Point
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE GLANVILLE PH.D. (PSYCHOLOGIST/OWNER)
(404) 966-7505
Entity
Organization
Contact information
Practice address
315 W PONCE DE LEON AVE, SUITE 1051, DECATUR, GA 30030-2400
(404) 378-0441
Mailing address
3316 S COBB DR SE STE A, SUITE 324, SMYRNA, GA 30080-4107
(404) 966-7505
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003074
GA
Other
Enumeration date
10/16/2010
Last updated
10/16/2010
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