Dr Marshaun Glover LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

9693 Issued in MA

Legal business name

DR MARSHAUN GLOVER LLC

Practice address

112 Water St
Suite 203
Boston, MA 02109-4206

Phone

(229) 869-0464

NPI assigned

Feb 10, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marshaun Benjamin Glover, PH.D.

Title

Owner

Phone

(229) 869-0464

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1396136503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WATER ST",
            "address_2": "SUITE 203",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021094206",
            "telephone_number": "229-869-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WATER ST",
            "address_2": "SUITE 203",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021094206",
            "telephone_number": "229-869-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARSHAUN GLOVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "MARSHAUN",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-869-0464",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.