| Doctor Name: | MAUREEN GLYNN |
| NPI Number: | 1013215433 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | |
| Business Practice Address: | 4993 Golden Foothill Pkwy Ste 5 El Dorado Hills, CA - 957629642 |
| Business Phone Number: | 9169418812 |
| Business Fax Number: | 9169418815 |
| Mailing Address: | 807 Cascara Ct, EL DORADO HILLS |
| State: | CA |
| Postal Code: | 957629699 |
| Phone Number: | 9168477794 |
| Fax Number: | |
| NPI Enumeration Date: | 03/09/2011 |
| NPI Last Update Date: | 03/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |