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DR GLENN J BRICKEN AND ASSOC P C

Clinical Neuropsychologist

The Woodlands, Texas

Provider NPI: 1528088077

Organization Information:
Organization Name:  DR GLENN J BRICKEN AND ASSOC P C
Organization is not Subpart
Authorized Official:  GLENN JOSEPH BRICKEN  PRESIDENT  281-3640067

Practice Location:
25810 OAK RIDGE DR  THE WOODLANDS, TX 77380 US
Tel: 281-364-0067  Fax: 281-364-0712

Business Mailing Address:
25810 OAK RIDGE DR  THE WOODLANDS, TX 77380 US
Tel: 281-364-0067  Fax: 281-364-0712

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist

Other Provider Identifiers:

IssuerNumberStateType
084856601TX05
BCBSTX PIN00R65RTX01
RAILROAD MEDICARE PINCI6064TX01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS TX - Page 1

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