MEDICARE: MARK W GLOVER PSYCHOLOGIST

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
1	103T00000X	Psychologist	01548	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	680007342	OTHER	MO	RR MEDICARE
6	P00251264	OTHER		RR MEDICARE
7	P00894315	OTHER	AR	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972590537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK W GLOVER PSYCHOLOGIST

Provider Business Mailing Address
First Line	:	PO BOX 505164
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63150-5164
Country	:	US
Telephone Number	:	417-829-4620
Fax Number	:	417-829-4316

Provider Business Practice Location Address
First Line	:	2115 S FREMONT AVE
Second Line	:	SUITE 3000
City	:	SPRINGFIELD
State	:	MO
Zip	:	65804-2239
Country	:	US
Telephone Number	:	417-820-7708
Fax Number	:	417-820-7951

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	09/11/2015

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1134193642 — RONALD G JONES MD
Practice Location Address:

2115 S FREMONT AVE , STE 2900
SPRINGFIELD, MO
65804-2239

Practice Phone: 417-820-3535
Practice Fax: 417-820-3540

1205898459 — DARIN C FINCHER PA-C
Practice Location Address:

2115 S FREMONT AVE , SUITE 5000
SPRINGFIELD, MO
65804-2239

Practice Phone: 417-820-3960
Practice Fax: 417-820-3966

1578528840 — MRS. ALICIA MARIE INMON MSE, ATC, LAT
Practice Location Address:

2135 S FREMONT AVE
SPRINGFIELD, MO
65804-2239

Practice Phone: 417-820-7990
Practice Fax: 417-820-8734

1134186901 — KEITH R. ALLEN M.D.
Practice Location Address:

2115 S FREMONT AVE , STE 5000
SPRINGFIELD, MO
65804-2239

Practice Phone: 417-820-3960
Practice Fax:

1477505816 — MERCY HOSPITAL SPRINGFIELD
Practice Location Address:

2115 S FREMONT AVE , SUITE 5200
SPRINGFIELD, MO
65804-2239

Practice Phone: 417-820-7099
Practice Fax: 417-820-8178

Directions to “ MARK W GLOVER PSYCHOLOGIST” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.