Glenn Clouse, PSY.D

NPI 1760697908 · on the registry since 2007 · sole proprietor

Practice

Address: 4554 E Inverness Ave
Suite C-11
Mesa, AZ 85206
Phone: (480) 226-0917
Organisation at this address: Rise Early Intervention Services Llc
Advanced Autism Center For Treatment Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 28

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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 Arizona