| Dr. Amanda Glover | |
|
1333 W Mcdermott Dr 150 Allen TX 75013-3090 | |
| (469) 519-2782 | |
| (866) 433-3741 |
| Full Name | Dr. Amanda Glover |
|---|---|
| Speciality | Psychologist |
| Location | 1333 W Mcdermott Dr, Allen, Texas |
| Authorized Official Name and Position | Amanda Gayle Glover (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4695192782 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Amanda Glover 1333 W Mcdermott Dr 150 Allen TX 75013-3090 Ph: (469) 519-2782 | Dr. Amanda Glover 1333 W Mcdermott Dr 150 Allen TX 75013-3090 Ph: (469) 519-2782 |
| NPI Number | 1306205588 |
|---|---|
| Provider Enumeration Date | 02/17/2016 |
| Last Update Date | 06/20/2016 |
| Medicare PECOS PAC ID | 9739479288 |
|---|---|
| Medicare Enrollment ID | O20160613000576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306205588 | NPI | - | NPPES |
| 159107 | Medicaid | AL | |
| 158667 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 34158 (Texas) | Primary |
| Provider Name | Amanda G Glover |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922395730 PECOS PAC ID: 5496920084 Enrollment ID: I20111209000330 |
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