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NPI 1336347244

IndividualActive

Bruce Glen, PH.D.

NPI 1336347244 · Psychologist · Makawao, HI

Provider details

NPI number: 1336347244
Entity type: Individual
Primary specialty: PsychologistBehavioral Health & Social Service Providers
Credential: PH.D.
Sex: Male
Sole proprietor: Yes
License: 396 (HI)

Practice location

1940 Olinda Rd

Makawao, HI 96768-7101

Phone: (808) 572-6556

Fax: (808) 573-1189

More HI providers

Mailing address

Po Box 1269

Makawao, HI 96768-1269

Registry dates

Enumerated: 2007-07-03
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bruce Glen, PH.D. — NPI 1336347244, Makawao, HI | NPI Central