Glen C Bannister Jr, EDD - Psychologist in Montgomery, AL

Glen C Bannister Jr, EDD is a Psychologist based in Montgomery, Alabama. Glen C Bannister Jr is licensed to practice in Alabama (license number 125) and his current practice location is 4216 Lomac St, Montgomery, Alabama. He can be reached at his office (for appointments etc.) via phone at (334) 277-5956.

NPI number for Glen C Bannister Jr is 1275680027 and his current mailing address is 4216 Lomac St, Montgomery, Alabama. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275680027.

Contact Information

Glen C Bannister Jr, EDD
4216 Lomac St,
Montgomery, AL 36106-2817
(334) 277-5956
Not Available



Healthcare Provider's Profile

Full NameGlen C Bannister Jr
GenderMale
SpecialityPsychologist
Location4216 Lomac St, Montgomery, Alabama
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1275680027
  • Provider Enumeration Date: 01/04/2007
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Glen C Bannister Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275680027NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 125 (Alabama)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Glen C Bannister Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Glen C Bannister Jr, EDD
4216 Lomac St,
Montgomery, AL 36106-2817

Ph: (334) 277-5956
Glen C Bannister Jr, EDD
4216 Lomac St,
Montgomery, AL 36106-2817

Ph: (334) 277-5956

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› Verified 2 days ago


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