Lundberg, Glenn Robert

Lundberg, Glenn Robert is an individual health care provider with primary practice located at 7707 Austin Rd , Stockton CA 95215-8312. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lundberg, Glenn Robert can be contacted via phone (209) 467-6954.

Contact Information

Primary practice address
7707 Austin Rd Stockton CA 95215-8312
Phone: (209) 467-6954
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 30068 California

Profile Details

NPI number 1689162182
LBN Legal business name Lundberg, Glenn Robert
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2018
Last updated Apr 30th, 2018 - about 8 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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