GLENN S. DAVIDSON JR. (NPI# 1992890081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992890081 |
| Entity Type | Individual |
| Full Name | GLENN S. DAVIDSON JR. |
| Credential | PH.D., HSPP |
| Practice Address |
1901 W Royale Dr Muncie IN 47304-2265 |
| Practice Telephone | 7652824317 |
| Practice Fax Number | 7652824362 |
| Mailing Telephone | 7652824317 |
| Mailing Fax Number | 7652824362 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20010351A | IN | Behavioral Health & Social Service Providers |
| Street Address |
1901 W ROYALE DR |
| City | MUNCIE |
| State | IN |
| Zip Code | 47304-2265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
| 1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
| 1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
| 1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
| Find all providers in zip 47304 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104155787 | Kasee Carlstedt | Psychologist | 2205 N Wheeling Ave, Muncie, IN 47303-1602 | 2009-12-10 |
| 1184718397 | Cathy Janene Palmer | Psychologist | 3621 N Everbrook Ln Ste 2, Muncie, IN 47304-5336 | 2006-10-03 |
| 1689617649 | Angela D Lykins | Psychologist | 4221 N Broadway Ave, Muncie, IN 47303-1015 | 2006-06-14 |
| 1740230465 | Teresa Lynn Vannatta | Psychologist | 4607 N Wheeling Ave, Muncie, IN 47304 | 2006-05-11 |
| 1215427067 | Associates In Behavioral Health PC | Psychologist | 708 W White River Blvd, Muncie, IN 47303-3866 | 2018-05-17 |
| 1174930499 | George Adam Gaither | Psychologist | 2205 N Wheeling Ave, Muncie, IN 47303-1602 | 2014-07-18 |
| 1326323692 | Melinda C Wallpe | Psychologist | 240 N Tillotson Ave, Muncie, IN 47304 | 2011-10-18 |
| 1114150687 | Brandon Matthew Robbins | Psychologist | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2009-08-31 |
| 1053499749 | Michele Janine Boberg | Psychologist | 4607 N Wheeling Ave, Muncie, IN 47304-1220 | 2006-11-01 |
| 1730130519 | Robert Barron Fischer | Psychologist | 4607 N Wheeling Ave, Muncie, IN 47304 | 2006-05-15 |
| Find all providers in MUNCIE | ||||
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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.