Aylward, Glen P

Aylward, Glen P is an individual health care provider with primary practice located at 301 N 8Th St , Springfield IL 62701-1041. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Aylward, Glen P can be contacted via phone (217) 545-2618.

Contact Information

Primary practice address
301 N 8Th St Springfield IL 62701-1041
Phone: (217) 545-2618
Fax: (217) 545-5834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-002533 Illinois
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 071-002533 Illinois

Profile Details

NPI number 1649252495
LBN Legal business name Aylward, Glen P
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Sep 26th, 2018 - about 6 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.

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