Whalio Doctors

NPI 1063482297

Glenn E. Knowlton, PHD

Practitioner Clinical Psychologist West Fargo, ND

Practice location

Address
1401 13th Ave E, West Fargo, ND 58078-3468
Phone
(701) 364-0060
Fax
(701) 364-0065

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 210 (ND)

Registry record

NPI
1063482297
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Jan 2006
Record last updated
29 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.