King, Glen D

King, Glen D is an sole proprietor health care provider with primary practice located at 1520 Mulberry St , Montgomery AL 36106-1520. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. King, Glen D can be contacted via phone (334) 269-1106.

Contact Information

Primary practice address
1520 Mulberry St Montgomery AL 36106-1520
Phone: (334) 269-1106
Fax: (334) 832-9557
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 137 Alabama

Profile Details

NPI number 1902968795
LBN Legal business name King, Glen D
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902968795 NPPES
Alabama Other 70974KIN 70974KIN

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