Provider Demographics
NPI:1528396033
Name:GLOVER, PAULETTE D (MSW)
Entity Type:Individual
Prefix:MS
First Name:PAULETTE
Middle Name:D
Last Name:GLOVER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 APALACHEE PKWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-4878
Mailing Address - Country:US
Mailing Address - Phone:850-894-3700
Mailing Address - Fax:850-894-3702
Practice Address - Street 1:2003 APALACHEE PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-4878
Practice Address - Country:US
Practice Address - Phone:850-894-3700
Practice Address - Fax:850-894-3702
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-20
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health