Wayne R Glad, PHD

NPI #1689656803 in Lake Forest, Illinois

Provider Information

NPI Number: 1689656803
Entity Type: Individual
Name: Wayne R Glad, PHD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Nov 15, 2005
Last Updated: Jul 5, 2016

Practice Location

Address: 900 N WESTMORELAND RD
Address 2: STE LL70
City: Lake Forest
State: Illinois
ZIP Code: 60045-1674
Phone: (847) 295-0340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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