Carl Bruce Glover in Mountain Home - Clinical
Carl Bruce Glover - NPI 1396779922
Carl Bruce Glover is a Clinical in Mountain Home, Tennessee. Carl Bruce Glover practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carl Bruce Glover is 1396779922. The last update date is 2007-07-08.
Carl Bruce Glover's current location address is James H. Quillen Va Medical Center, Mountain Home, Tennessee. You can contact this provider via phone number 4239261171. The mailing address for Carl Bruce Glover is James H. Quillen Va Medical Center, Mountain Home, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carl Bruce Glover |
|---|---|
| Address | James H. Quillen Va Medical Center, Mountain Home, Tennessee |
| Phone Number | 4239261171 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1396779922 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | James H. Quillen Va Medical Center |
|---|---|
| City | Mountain Home |
| State | Tennessee (TN) |
| Post Code | 376846000 |
| Phone Number | 4239261171 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | P687 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Carl Bruce Glover by the Centers for Medicare & Medicaid Services?
The Carl Bruce Glover has been assigned the NPI (National Provider Identifier) 1396779922. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Carl Bruce Glover is physically located?
The Carl Bruce Glover is physically situated at the following address: James H. Quillen Va Medical Center, Mountain Home, TN, 376846000.
What is Carl Bruce Glover's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Carl Bruce Glover is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Carl Bruce Glover receive the assignment of its 1396779922 from the Centers for Medicare & Medicaid Services?
The Carl Bruce Glover was issued its 1396779922 by the Centers for Medicare & Medicaid Services on 2006-07-10.
When was the Carl Bruce Glover's information last updated?
The Carl Bruce Glover's information was last updated on 2007-07-08.
NPI Number: 1841293149
Address: Po Box 40908, Fayetteville, NC