Anderson, Glenn Donald

Anderson, Glenn Donald is an individual health care provider with primary practice located at 600 N Jordan Ave , Bloomington IN 47405-3190. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Anderson, Glenn Donald can be contacted via phone (812) 855-5711.

Contact Information

Primary practice address
600 N Jordan Ave Bloomington IN 47405-3190
Phone: (812) 855-5711
Fax: (812) 855-8447
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20040208 Indiana

Profile Details

NPI number 1780710103
LBN Legal business name Anderson, Glenn Donald
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Sep 11th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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