Glenn T. Brasington, Ph.d., Inc.

NPI #1356571194 in Silverton, Oregon

Provider Information

NPI Number: 1356571194
Entity Type: Organization
Organization Name: Glenn T. Brasington, Ph.d., Inc.
Primary Specialty: Psychologist
Enumeration Date: Jul 14, 2009
Last Updated: Jul 14, 2009

Practice Location

Address: 429 N WATER ST
City: Silverton
State: Oregon
ZIP Code: 97381-1645
Phone: (503) 310-9157

Authorized Official

Name: GLENN BRASINGTN
Title: PRESIDENT
Phone: (503) 310-9157

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Counseling — Counseling	103TC1900X
Psychologist	103T00000X	Primary

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