Glen Kercher is a Clinical in Huntsville, Texas. Glen Kercher practices all healthcare services and medical treatments related to Clinical. The NPI Number for Glen Kercher is 1023027224. The last update date is 2007-07-08.
Glen Kercher's current location address is 2804 Lake Rd, Huntsville, Texas. You can contact this provider via phone number 9362916577 and fax number 9362910403. The mailing address for Glen Kercher is 2804 Lake Rd, Huntsville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen Kercher |
|---|---|
| Address | 2804 Lake Rd, Huntsville, Texas |
| Phone Number | 9362916577 |
| Fax Number | 9362910403 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1023027224 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2804 Lake Rd |
|---|---|
| City | Huntsville |
| State | Texas (TX) |
| Post Code | 773405626 |
| Phone Number | 9362916577 |
| Fax Number | 9362910403 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2-1320 |
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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 10-digit identifier code assigned to Glen Kercher by the Centers for Medicare & Medicaid Services?
The Glen Kercher has been issued the NPI (National Provider Identifier) 1023027224 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Glen Kercher is physically located?
The Glen Kercher is physically situated at the following address: 2804 Lake Rd, Huntsville, TX, 773405626.
What is Glen Kercher's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Glen Kercher is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1023027224 to Glen Kercher?
The Glen Kercher received its 1023027224 assignment from the Centers for Medicare & Medicaid Services on 2006-08-05.
When was the information related to Glen Kercher most recently updated or refreshed?
The details pertaining to the Glen Kercher, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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