Provider Demographics
NPI:1699209395
Name:GLOVER, JACQUELINE (PHD)
Entity Type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:
Last Name:GLOVER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13080 E 19TH AVE
Mailing Address - Street 2:ROOM 201-A
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2509
Mailing Address - Country:US
Mailing Address - Phone:303-724-3992
Mailing Address - Fax:303-724-3997
Practice Address - Street 1:13080 E 19TH AVE
Practice Address - Street 2:ROOM 201-A
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2509
Practice Address - Country:US
Practice Address - Phone:303-724-3992
Practice Address - Fax:303-724-3997
Is Sole Proprietor?:No
Enumeration Date:2017-04-19
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174V00000XOther Service ProvidersClinical Ethicist