Clyde E Glenn in Madison - Psychiatry

Clyde E Glenn - NPI 1982612164

Clyde E Glenn is a Psychiatry in Madison, Mississippi. Clyde E Glenn practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Clyde E Glenn is 1982612164. The last update date is 2022-11-29.

Clyde E Glenn's current location address is Po Bx 1276, Madison, Mississippi. You can contact this provider via phone number 8885613380 and fax number 8887326141. The mailing address for Clyde E Glenn is Po Bx 1276, Madison, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Clyde E Glenn
Address Po Bx 1276, Madison, Mississippi
Phone Number 8885613380
Fax Number 8887326141
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1982612164
Provider Enumeration Date 2006-08-04
Last Updated Date 2022-11-29

Provider Mailing Address Detail

Address Po Bx 1276
City Madison
State Mississippi (MS)
Post Code 39130
Phone Number 8885613380
Fax Number 8887326141

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 15747
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8237869 MS --

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FAQs about Clyde E Glenn

What is the unique provider identifier assigned to Clyde E Glenn?

The Clyde E Glenn has been issued the NPI (National Provider Identifier) 1982612164 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Clyde E Glenn?

The Clyde E Glenn is situated at Po Bx 1276, in the city of Madison, state of MS, with the zip code 39130.

What is the area of specialization for Clyde E Glenn, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Clyde E Glenn is Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0800X.

On what date was the 1982612164 assigned to Clyde E Glenn?

The Clyde E Glenn was issued its 1982612164 on 2006-08-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Clyde E Glenn's details last updated?

The information pertaining to the Clyde E Glenn, including its address, specialty, and other details, was most recently updated on 2022-11-29.

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