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GLENN A. ALLY, PH.D.

Clinical Neuropsychologist

Lafayette, Louisiana

Provider NPI: 1578786745

Organization Information:
Organization Name:  GLENN A. ALLY, PH.D.
Organization is not Subpart
Authorized Official:  GLENN A ALLY  PRESIDENT  337-2358304

Practice Location:
155 HOSPITAL DR SUITE 200 LAFAYETTE, LA 70503 US
Tel: 337-235-8304  Fax: 337-235-5924

Business Mailing Address:
155 HOSPITAL DR SUITE 200 LAFAYETTE, LA 70503 US
Tel: 337-235-8304  Fax: 337-235-5924

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
LA378MP
X103TB0200XBehavioral Health & Social Service Providers
Psychologist
LA378MP
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
LA378MP
X103TP0016XBehavioral Health & Social Service Providers
Psychologist
LA378MP

Other Provider Identifiers:

IssuerNumberStateType
1969559LA05
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 LA - Page 1

1 Assistant Professor - Clinical Psychology Baton Rouge, LA, USA Candidates with a background in pediatric neuropsychology will be asked to contribute to existing graduate training specializations in clinical neuropsychology and clinical child psychology... Apply Now>>



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