Dr Edward Glenn Momrow, THD PHD is a
Psychologist based in San Jose, California. Dr Edward Glenn Momrow is licensed to practice in California (license number M01888) and his current practice location is
940 Saratoga Ave, #104, San Jose, California. He can be reached at his office (for appointments etc.) via phone at
(408) 249-8313.
NPI number for Dr Edward Glenn Momrow is 1437379229 and his current mailing address is 940 Saratoga Ave, #104, San Jose, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437379229.
Healthcare Provider's Profile
| Full Name | Dr Edward Glenn Momrow |
|---|
| Gender | Male |
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| Speciality | Psychologist |
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| Location | 940 Saratoga Ave, San Jose, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1437379229
- Provider Enumeration Date: 04/26/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Edward Glenn Momrow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437379229 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | M01888 (California) | Primary |
| 103T00000X | Psychologist | M01888 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Edward Glenn Momrow is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Edward Glenn Momrow, THD PHD
940 Saratoga Ave, #104,
San Jose, CA 95129
Ph: (408) 249-8313 | Dr Edward Glenn Momrow, THD PHD
940 Saratoga Ave, #104,
San Jose, CA 95129
Ph: (408) 249-8313 |
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