Provider Demographics
NPI:1164855375
Name:GLOVER, ANGELA CHERI
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:CHERI
Last Name:GLOVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3153 E WARM SPRINGS RD
Mailing Address - Street 2:BUILDING 14 SUITE 200
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-3141
Mailing Address - Country:US
Mailing Address - Phone:702-586-7409
Mailing Address - Fax:
Practice Address - Street 1:3153 E WARM SPRINGS RD
Practice Address - Street 2:BUILDING 14 SUITE 200
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-3141
Practice Address - Country:US
Practice Address - Phone:702-586-7409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst