DR. Bruce Leon Glen, PH.D.

NPI #1336347244 in Makawao, Hawaii

Provider Information

NPI Number: 1336347244
Entity Type: Individual
Name: DR. Bruce Leon Glen, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Jul 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1940 OLINDA RD
City: Makawao
State: Hawaii
ZIP Code: 96768-7101
Phone: (808) 572-6556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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