Individual
GLENDA THORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
312 S JEFFERSON AVE STE B, COVINGTON, LA 70433-3169
(985) 246-9508
Mailing address
312 S JEFFERSON AVE STE B, COVINGTON, LA 70433-3169
(985) 246-9508
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
692
LA
Other
Enumeration date
06/26/2008
Last updated
04/02/2012
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