| Doctor Name: | GLENN GARY RHINE |
| NPI Number: | 1023155421 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 34000166A |
| Business Practice Address: | 997 N Collier Blvd Suite G Marco Island, FL - 341452773 |
| Business Phone Number: | 2394042141 |
| Business Fax Number: | |
| Mailing Address: | 1375 Mainsail Dr Unit 1712, NAPLES |
| State: | FL |
| Postal Code: | 341148808 |
| Phone Number: | 2394046383 |
| Fax Number: | |
| NPI Enumeration Date: | 02/01/2007 |
| NPI Last Update Date: | 07/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 34000166A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |