GLENN TANNER SHRUM LPC NPI 1164198800

NPI Information

NPI: 1164198800
Provider Name: GLENN TANNER SHRUM, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
255 S 17TH ST STE 1010
PHILADELPHIA, PA
ZIP 19103
Phone: (484) 816-6027
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Glenn Tanner Shrum, LPC is a professional counselor in Philadelphia, PA. Glenn Tanner Shrum, LPC NPI is 1164198800. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

255 S 17TH ST STE 1010
PHILADELPHIA, PA
ZIP 19103-210
Phone: (484) 816-6027

The NPI 1164198800 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 8/23/2021 and was last updated on 8/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	PC013073	PENNSYLVANIA	No
2	101YP2500X	Counselor	Professional	PC013073	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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