| Denise Glanville, Llc | |
|
315 W Ponce De Leon Ave Suite 1051 Decatur GA 30030-2400 | |
| (404) 378-0441 | |
| Not Available |
| Full Name | Denise Glanville, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 315 W Ponce De Leon Ave, Decatur, Georgia |
| Authorized Official Name and Position | Denise Glanville (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 4049667505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denise Glanville, Llc 3316 S Cobb Dr Se Ste A Suite 324 Smyrna GA 30080-4107 Ph: (404) 966-7505 | Denise Glanville, Llc 315 W Ponce De Leon Ave Suite 1051 Decatur GA 30030-2400 Ph: (404) 378-0441 |
| NPI Number | 1912217530 |
|---|---|
| Provider Enumeration Date | 10/16/2010 |
| Last Update Date | 10/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912217530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY003074 (Georgia) | Primary |
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