institution
Glenn S. Fagen Phd Inc
Mental Health Clinic/Center (Including Community Mental Health Center) in Northampton, Massachusetts
NPI 1518261874

Glenn S. Fagen Phd Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Northampton, MA and is specialized in Mental Health (Including Community Mental Health Center). Glenn S. Fagen Phd Inc practices in Northampton, MA. The NPI Number for Glenn S. Fagen Phd Inc is 1518261874 and holds a License No. 6793 (Massachusetts).

The current practice location address for Glenn S. Fagen Phd Inc is 100 King St, Northampton, MA and can be reached out via phone at 413-584-8339 and via fax at 413-584-8339. You can also correspond with Glenn S. Fagen Phd Inc through the mailing address at 100 KING ST, NORTHAMPTON, MA - 01060-3243 (mailing address contact number: 413-584-8339).

Location: 100 King St, Northampton, MA, 01060-3243
institution
Provider Profile Details
NPI Number
1518261874
Provider Name
Glenn S. Fagen Phd Inc
Credential
Provider Entity Type
Organization
Address
100 King St, Northampton, MA, 01060-3243
Phone Number
413-584-8339
Fax Number
413-584-8339
Provider Enumeration Date
12/30/2010
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0524484 05 MA
W05440 01 MA BLUE CROSS AND BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
100 King St
City
State
Zip
01060-3243
Phone Number
413-584-8339
Fax Number
413-584-8339
person
Provider Business Mailing Address Details
Address
100 King St
City
State
Zip
01060-3243
Phone Number
413-584-8339
Fax Number
413-584-8807
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
6793 (Massachusetts)
Definition
Definition to come...
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