| Doctor Name: | DR. JAMES A. R. GLYNN |
| NPI Number: | 1083967418 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSYD |
| License Number: | 020502 |
| Business Practice Address: | 63 Beaverbrook Rd Suite 102 Lincoln Park, NJ - 070351440 |
| Business Phone Number: | 9736960800 |
| Business Fax Number: | |
| Mailing Address: | 63 Beaverbrook Rd, Suite 102 LINCOLN PARK |
| State: | NJ |
| Postal Code: | 070351440 |
| Phone Number: | 9736960800 |
| Fax Number: | |
| NPI Enumeration Date: | 10/23/2012 |
| NPI Last Update Date: | 06/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 020502 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |