| Organization Name: | GLENN T. BRASINGTON, PH.D., INC. |
| NPI Number: | 1356571194 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GLENN BRASINGTN (PRESIDENT) |
| Mailing Address: | 429 N Water St Silverton |
| State: | OR US |
| Postal Code: | 973811645 |
| Phone Number: | 5033109157 |
| Fax Number: | 5038736340 |
| NPI Enumeration Date: | 07/14/2009 |
| NPI Last Update Date: | 07/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 211 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | HI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |