MR. Theodore Alan Glance, M.A.

NPI #1588757587 in Weston, West Virginia

Provider Information

NPI Number: 1588757587
Entity Type: Individual
Name: MR. Theodore Alan Glance, M.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: M.A.
Enumeration Date: Oct 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 936 SHARPE HOSPITAL RD
City: Weston
State: West Virginia
ZIP Code: 26452-8550
Phone: (304) 269-1210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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