Healthcare Provider Details

I. General information

NPI: 1154430809
Provider Name (Legal Business Name): GLEN VERNON SAVING JR. PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 03/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 BURKARTH RD STE C
WARRENSBURG MO
64093-3123
US

IV. Provider business mailing address

1800 COMMUNITY
CLINTON MO
64735-8804
US

V. Phone/Fax

Practice location:
  • Phone: 660-747-7127
  • Fax: 660-747-1823
Mailing address:
  • Phone: 660-885-8131
  • Fax: 660-885-2393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number2008009862
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: