GLEN C BANNISTER

MONTGOMERY, AL
NPI1275680027
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: AL  125)
Enumeration Date2007-01-04
Last Update Date2025-08-31
Business Address
GLEN C BANNISTER ED.D.
4216 LOMAC ST
MONTGOMERY, AL 36106-2817
Phone number: 334-277-5956
Mailing Address
GLEN C BANNISTER ED.D.
4216 LOMAC ST
MONTGOMERY, AL 36106-2817
Phone number: 334-277-5956
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