Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WAYNE R GLAD, PHD
ActiveWAYNE R GLAD, PHD is a Psychologist healthcare provider located in LAKE FOREST, Illinois. NPI 1689656803 is currently active in the NPPES registry. Verify at CMS.
Psychologist · LAKE FOREST, IL
Registration Details
- NPI Number
- 1689656803
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2005 (20.787053330605 yrs)
- Last Updated
- Jul 5, 2016
- License
-
071002465 (IL)
Practice Information
- Address
-
900 N WESTMORELAND RDSTE LL70LAKE FOREST, IL, 600451674Browse IL providers · Browse ZIP 60045
- Phone
- 8472950340
- Fax
- 8472950351
- Primary Specialty
-
Psychologist
103T00000X
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.