NPI 1437272945

Glenn a Ally, PHDMP

Practitioner Clinical Neuropsychologist Lafayette, LA

Practice location

Address: 155 Hospital Dr Suite 200, Lafayette, LA 70503-2852
Phone: (337) 235-8304
Fax: (337) 235-5924

Registered specialties (3)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 378MP (LA)

Other Clinical Neuropsychologist providers in Louisiana →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 378MP (LA)

Other Psychologist providers in Louisiana →

Prescribing (Medical) Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TP0016X Licence 378MP (LA)

Registry record

NPI: 1437272945
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Apr 2007
Record last updated: 30 Aug 2007

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.