Glenn D Shean, LCP is a
Psychologist - Clinical based in Grafton, Virginia. Glenn D Shean is licensed to practice in Virginia (license number 0107000605) and his current practice location is
6515 George Washington Mem Hwy, Ste 100, Grafton, Virginia. He can be reached at his office (for appointments etc.) via phone at
(757) 877-9140.
NPI number for Glenn D Shean is 1427152529 and his current mailing address is Po Box 1069, Grafton, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427152529.
Healthcare Provider's Profile
| Full Name | Glenn D Shean |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 6515 George Washington Mem Hwy, Grafton, Virginia |
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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: 1427152529
- Provider Enumeration Date: 09/11/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Glenn D Shean such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427152529 | NPI | - | NPPES |
| 017162 | Other | | ANTHEM |
| 7746563 | Medicaid | VA | |
| 001979 | Other | | VALUE OPTIONS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 0107000605 (Virginia) | 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. Glenn D Shean 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 |
|---|
Glenn D Shean, LCP
Po Box 1069,
Grafton, VA 23692-1069
Ph: (757) 877-9140 | Glenn D Shean, LCP
6515 George Washington Mem Hwy, Ste 100,
Grafton, VA 23692-2182
Ph: (757) 877-9140 |
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