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GLENN SAMPLE, PSY.D.

PSY.D.

Clinical Psychologist

NPI: 1881915270Individual

Specialties, Licenses & Credentials

Professional Counselor

Counselor — Professional

Code: 101YP2500X

178010086(IL)180010078(IL)
Clinical PsychologistPrimary

Psychologist — Clinical

Code: 103TC0700X

30340(CA)071009666(IL)

Contact & Hours

Address
1643 N ALPINE RD STE 104-609
ROCKFORD, IL 61107

Quick Facts

NPI
1881915270
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
4
Locations
1

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