Provider Demographics
NPI:1598012338
Name:USHER, GLENN ALBERT (MS, LPC, NCC)
Entity type:Individual
Prefix:MR
First Name:GLENN
Middle Name:ALBERT
Last Name:USHER
Suffix:
Gender:M
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 WESTTOWN CIR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-7663
Mailing Address - Country:US
Mailing Address - Phone:610-731-1700
Mailing Address - Fax:
Practice Address - Street 1:811 W CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-4844
Practice Address - Country:US
Practice Address - Phone:610-696-0307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-10
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006015101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional