Search › California › 1041C0700X
Glennis Muldoon, LCSW
NPI 1386312270 · on the registry since 2021 · sole proprietor
Practice
- Address
- 4874 Polk Ave
San Diego, CA 92105 - Phone
- (619) 515-2426
- Organisation at this address
- Family Health Centers Of San Diego, Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- CA, MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California