Glenn Davidson, PH.D., HSPP

NPI 1992890081 · on the registry since 2006 · sole proprietor

Practice

Address: 1901 W Royale Dr
Muncie, IN 47304
Phone: (765) 282-4317
Fax: (765) 282-4362
Organisation at this address: Wilson Therapeutic Services Llc
Blackbird Psychological Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: IN
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 Indiana