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NPI Code Detail

MEDICARE: AAQILA DEAN GLYNN

MEDICARE: AAQILA DEAN GLYNN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TB0200XCognitive & Behavioral Psychologist
2171M00000XCase Manager/Care Coordinator
3374U00000XHome Health Aide

General Provider Information

NPI Number : 1902473291
Entity Type Code : Individual
Provider Name (Legal Business Name) : AAQILA DEAN GLYNN
Provider Business Mailing Address
First Line : 1435 VINE ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-8005
Country : US
Telephone Number : 513-884-6769
Fax Number :
Provider Business Practice Location Address
First Line : 1435 VINE ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-8005
Country : US
Telephone Number : 513-650-8523
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2021
Last Update Date : 10/16/2025

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Directions to “ AAQILA DEAN GLYNN ” Practice Location

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