Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GLEN OWEN SALLOWS, PHD, BCBA-D
ActiveMR. GLEN OWEN SALLOWS, PHD, BCBA-D is a Psychologist healthcare provider located in MADISON, Wisconsin. NPI 1104993153 is currently active in the NPPES registry. Verify at CMS.
Psychologist · MADISON, WI
Registration Details
- NPI Number
- 1104993153
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 28, 2006 (19.704751961446 yrs)
- Last Updated
- Nov 17, 2015
- Licenses
-
823057 (WI)54-140 (WI)
Practice Information
- Address
-
1210 FOURIER DRIVESUITE #100MADISON, WI, 537171969Browse WI providers · Browse ZIP 53717
- Phone
- 6086629327
- Fax
- 6086629041
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Behavior Analyst
Other Psychologist Providers in MADISON, WI
| Name | Credential | NPI |
|---|---|---|
| KAREN K KIMBALL | PHD | 1740274984 |
| DR. KRISTINE M EIRING III | PH.D. | 1063406585 |
| JOHN DAVID BAYLESS | PHD | 1467448738 |
| DR. HEIDI T BECKMAN | PHD | 1164404679 |
| THOMAS MORAN | PHD | 1013991330 |
| BRIAN D BELL | PHD | 1154393361 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.