Individual
DR. JENNIFER LEA COX GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
15TH MDG, 755 SCOTT CIRCLE, JBPH-HICKAM AFB, HI 96853
(808) 448-6377
Mailing address
1898 FORT RD, SHERIDAN, WY 82801-8320
(808) 780-4556
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
080005232
VA
Other
Enumeration date
08/13/2015
Last updated
09/26/2024
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