DR. GLENN WOOD DAVIS (NPI# 1114934817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114934817 |
| Entity Type | Individual |
| Full Name | DR. GLENN WOOD DAVIS |
| Credential | MFT |
| Practice Address |
43535 17th St West #304 Lancaster CA 93534 |
| Practice Telephone | 6619424079 |
| Practice Fax Number | 6619423887 |
| Mailing Telephone | 6619424079 |
| Mailing Fax Number | 6619423887 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFT19382 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962923029 | Glenn Samuel Davis | Counselor | 8 Birchwood Ter, Groveland, MA 01834-1606 | 2017-06-29 |
| 1770913642 | Glenn Davis | Licensed Vocational Nurse | 95-270 Waikalani Dr, Apt B104, Mililani, HI 96789-3527 | 2013-11-13 |
| 1639353113 | Glenn Richard Davis | Pharmacist | 985 Ridge Rd, Webster, NY 14580-2905 | 2007-12-20 |
| 1083724512 | Glenn Davis | Ophthalmology | 1510 Bob White Blvd, Pulaski, VA 24301-4406 | 2006-08-30 |
| 1437198017 | Glenn Davis | Dentist | 3703 N Kickapoo Ave, Shawnee, OK 74804-1703 | 2006-06-06 |
| 1740275858 | Glenn Alan Davis | Internal Medicine | 385 Rte 24, Ste 1c, Chester, NJ 07930-2918 | 2005-09-14 |
| 1497757298 | Glenn Alan Davis | Family Medicine | 1020 Mcarthur St, Manchester, TN 37355-2453 | 2005-08-11 |
| 1144229212 | Glenn R Davis | Pharmacist | 632 Slate Ave, Owingsville, KY 40360-2206 | 2005-07-20 |
| 1851396154 | Glenn Bryan Davis | Family Medicine | 2447 Bedford St, Suite 105, Johnstown, PA 15904-1405 | 2005-06-15 |
| 1841601309 | Glenn Davis | Counselor | 662 Grant St, Denver, CO 80203-3507 | 2014-05-17 |
| Street Address |
43535 17TH ST WEST #304 |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726585 | Tina Ross | Marriage & Family Therapist | 1804 Harlow Ct, Lancaster, CA 93534-5140 | 2020-06-30 |
| 1689205445 | Help for Heroes | Marriage & Family Therapist | 104 E Avenue K4 Ste B, Lancaster, CA 93535-4678 | 2020-01-30 |
| 1346889698 | Nancy Marie Miller | Marriage & Family Therapist | 1429 N Bluegrove Rd, Lancaster, TX 75134-2937 | 2020-01-04 |
| 1942867098 | Megan Marie Malick | Marriage & Family Therapist | 342 N Queen St, Lancaster, PA 17603-3072 | 2019-05-23 |
| 1417414772 | Ashley Himmelstern | Marriage & Family Therapist | 815 W Lancaster Blvd Ste 115, Lancaster, CA 93534-2303 | 2019-02-22 |
| 1083152870 | Juline Hobson | Marriage & Family Therapist | 2010 W Avenue K # V112, Lancaster, CA 93536-5229 | 2017-02-01 |
| 1710376637 | Lina Vielma | Marriage & Family Therapist | 43423 Division St Ste 401, Lancaster, CA 93535-4641 | 2015-01-15 |
| 1538568548 | Roman Flores | Marriage & Family Therapist | 43520 Division St., Lancaster, CA 93535 | 2014-08-14 |
| 1134545445 | Jeff Bare LLC | Marriage & Family Therapist | 600 Olde Hickory Rd, Suite 220, Lancaster, PA 17601-4959 | 2014-03-11 |
| 1609135060 | Maricela Reyes | Marriage & Family Therapist | 314 E Avenue K4, Lancaster, CA 93535-4689 | 2012-05-04 |
| Find all providers in LANCASTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.