Glennon, Bertin R

Glennon, Bertin R is an sole proprietor health care provider with primary practice located at 310 E 8Th St Suite C, Chattanooga TN 37403-4062. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Glennon, Bertin R can be contacted via phone (423) 265-7935.

Contact Information

Primary practice address
310 E 8Th St Suite C Chattanooga TN 37403-4062
Phone: (423) 265-7935
Fax: (423) 265-8204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC0000000289 Tennessee
Behavioral Health & Social Service Providers / Psychologist 103T00000X PE0000011753 Tennessee
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMT0000000027 Tennessee

Profile Details

NPI number 1629133004
LBN Legal business name Glennon, Bertin R
Credentials PSYCHOLOGICAL EXAMIN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2006
Last updated Jun 10th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629133004 NPPES
Tennessee Other 4024539 BLUECROSS

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