Provider Demographics
NPI:1154927044
Name:GLOVER, STEVEN CODY (MED)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:CODY
Last Name:GLOVER
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4010 DONALBAIN DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-7441
Mailing Address - Country:US
Mailing Address - Phone:832-513-0766
Mailing Address - Fax:
Practice Address - Street 1:4010 DONALBAIN DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-7441
Practice Address - Country:US
Practice Address - Phone:832-513-0766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-07
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81698101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health