MR. GLENNON CHARLES DOHERTY M.ED. LPC NPI 1003939323

NPI Information

  • NPI: 1003939323
  • Provider Name: MR. GLENNON CHARLES DOHERTY, M.ED., LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 214 S CLAY AVE
    APT. 3
    KIRKWOOD, MO
    ZIP 63122
  • Phone: (314) 849-2989

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NPI Details

MR. Glennon Charles Doherty, M.ED., LPC is a mental health counselor in Kirkwood, MO. MR. Glennon Charles Doherty, M.ED., LPC NPI is 1003939323. 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:

214 S CLAY AVE
APT. 3
KIRKWOOD, MO
ZIP 63122-215
Phone: (314) 849-2989

The enumeration date for this NPI number is 4/10/2007 and was last updated on 7/8/2007.

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
1101YM0800XCounselorMental Health002525MISSOURIYes

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: 3/30/2025

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