Whitelaw, Glenn Douglas Campbell

Whitelaw, Glenn Douglas Campbell is an individual health care provider with primary practice located at 114 Orchard Lake Rd , Pontiac MI 48341-2244. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Whitelaw, Glenn Douglas Campbell can be contacted via phone (248) 858-7766.

Contact Information

Primary practice address
114 Orchard Lake Rd Pontiac MI 48341-2244
Phone: (248) 858-7766
Fax: (248) 858-7201
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801017103 Michigan
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4101005142 Michigan

Profile Details

NPI number 1659650638
LBN Legal business name Whitelaw, Glenn Douglas Campbell
Credentials LMSW, LMFT, ACSW, NA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2011
Last updated Aug 9th, 2011 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659650638 NPPES
Michigan MEDICAID 1883825

Popular Providers