GLENN EDWARD KNOWLTON

KNOWLTON O'NEILL AND ASSOCIATES PC

Dr GLENN EDWARD KNOWLTON is a male medical professional, specializing in Psychologist, Clinical. He graduated in 1989.

Contact

KNOWLTON O'NEILL AND ASSOCIATES PC

1401 13TH AVE E
WEST FARGO
ND
580783402

Tel: 7013640060

GLENN EDWARD KNOWLTON Information

Npi 1063482297
Pac Id 2466449822
Professional Enrollment Id I20110218000047
Last Name KNOWLTON
First Name GLENN
Middle Name EDWARD
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1989
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name KNOWLTON O'NEILL AND ASSOCIATES PC
Group Practice Pac Id 7214924679
Number Of Group Practice Members 7
Line 1 Street Address 1401 13TH AVE E
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WEST FARGO
State ND
Zip Code 580783402
Phone Number 7013640060
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
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Hospital Affiliation Lbn 3
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Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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