| Glenn A. Ally, Ph.d. | |
|
155 Hospital Dr Suite 200 Lafayette LA 70503-2852 | |
| (337) 235-8304 | |
| (337) 235-5924 |
| Full Name | Glenn A. Ally, Ph.d. |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 155 Hospital Dr, Lafayette, Louisiana |
| Authorized Official Name and Position | Glenn A Ally (PRESIDENT) |
| Authorized Official Contact | 3372358304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn A. Ally, Ph.d. 155 Hospital Dr Suite 200 Lafayette LA 70503-2852 Ph: (337) 235-8304 | Glenn A. Ally, Ph.d. 155 Hospital Dr Suite 200 Lafayette LA 70503-2852 Ph: (337) 235-8304 |
| NPI Number | 1578786745 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578786745 | NPI | - | NPPES |
| 1969559 | Medicaid | LA |
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