Powell, Glen Victor

Powell, Glen Victor is an sole proprietor health care provider with primary practice located at 100 Erdman Way , Leominster MA 01453-1804. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Powell, Glen Victor can be contacted via phone (978) 537-0956.

Contact Information

Primary practice address
100 Erdman Way Leominster MA 01453-1804
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1104005693
LBN Legal business name Powell, Glen Victor
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2007
Last updated Oct 31st, 2007 - about 17 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.

Request for update

Popular Providers