GLENN A. ALLY, PH.D. (NPI# 1578786745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578786745 |
| Entity Type | Organization |
| Organization Name | GLENN A. ALLY, PH.D. |
| Practice Address |
155 Hospital Dr Suite 200 Lafayette LA 70503-2852 |
| Practice Telephone | 3372358304 |
| Practice Fax Number | 3372355924 |
| Mailing Telephone | 3372358304 |
| Mailing Fax Number | 3372355924 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GLENN A ALLY (PRESIDENT) |
| Authorized Official Telephone | 3372358304 |
| Authorized Official Credential | PH.D., M.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | 378MP | LA | Behavioral Health & Social Service Providers |
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
378MP | LA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
378MP | LA | Behavioral Health & Social Service Providers |
| X | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
378MP | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1969559 | 05 |
| Street Address |
155 HOSPITAL DR SUITE 200 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70503-2852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667257 | Cain & Johnson Oncology LLC | Internal Medicine | 155 Hospital Dr, Ste 100, Lafayette, LA 70503-2852 | 2005-05-24 |
| 1851783864 | Madelyn Ann Hunter | Nurse Practitioner | 155 Hospital Dr, Ste. 206, Lafayette, LA 70503-2852 | 2015-02-27 |
| 1902212301 | Lauren Sullivan | Nurse Practitioner | 155 Hospital Dr, Suite 100, Lafayette, LA 70503-2852 | 2014-07-07 |
| 1346652161 | Jay Luke LLC | Specialist | 155 Hospital Dr, Ste 410, Lafayette, LA 70503-2852 | 2014-05-28 |
| 1275950370 | Andrew Patrick Hebert | Physician Assistant | 155 Hospital Dr, Lafayette, LA 70503-2852 | 2014-03-26 |
| 1528481744 | Morgan Louviere | Nurse Practitioner | 155 Hospital Dr, Suite 301, Lafayette, LA 70503-2852 | 2014-01-23 |
| 1669802716 | Ghanami Medical LLC | Specialist | 155 Hospital Dr, Suite 410, Lafayette, LA 70503-2852 | 2013-11-26 |
| 1801222104 | Maria Bidros Md Apmc | Ophthalmology | 155 Hospital Dr, Suite 203, Lafayette, LA 70503-2852 | 2013-09-18 |
| 1578905725 | Amanda Lemoine Alleyn LLC | Obstetrics & Gynecology | 155 Hospital Dr, Suite 303, Lafayette, LA 70503-2852 | 2013-07-29 |
| 1700224862 | Smartmed - It Solutions LLC | Internal Medicine | 155 Hospital Dr, Suite 103, Lafayette, LA 70503-2852 | 2013-06-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024620 | The Carpenter Center for Palliative Medicine of Lafayette, LLC | General Acute Care Hospital | 923 West Pinhook Road, Lafayette, LA 70503 | 2020-05-15 |
| 1326679143 | Elisabeth Robertson | Speech-Language Pathologist | 227b Bendel Rd., Ste. C, Lafayette, LA 70503 | 2020-01-30 |
| 1497391973 | Solvet Services LLC | Durable Medical Equipment & Medical Supplies | 345 Doucet Rd., Suite 212, Lafayette, LA 70503 | 2019-11-20 |
| 1023654712 | Louisiana Cardiac Vascular and Pulmonary Rehab LLC | Registered Nurse | 2701 Johnston Street, Ste 100, Lafayette, LA 70503 | 2019-11-18 |
| 1972147346 | Ryan Christopher Winters | Counselor | 143 Ridgeway Dr., Lafayette, LA 70503 | 2019-10-29 |
| 1861046112 | Lafayette General Medical Center Inc | General Acute Care Hospital | 1213 Coolidge Street, Lafayette, LA 70503 | 2019-07-25 |
| 1770041295 | Karen R Rue | Registered Nurse | 1001 W. Pinhook Rd, Bldg #3, Ste. 212, Lafayette, La, LA 70503 | 2019-03-04 |
| 1235601766 | Frances Chauvin, Dds, LLC | Dentist | 229 Bendel Rd., Lafayette, LA 70503 | 2018-12-21 |
| 1710456116 | Affordable Caregivers, Inc. | In Home Supportive Care | 515 South College Rd., Suite 125, Lafeyette, LA 70503 | 2018-11-15 |
| 1366911778 | Taylor Callais-rusich | Counselor | 142 Ridgeway Dr., 201, Lafayette, LA 70503 | 2018-11-14 |
| Find all providers in zip 70503 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896253 | Kristen Wortman Psychology, P.C. | Clinical Neuropsychologist | 3738 Mt Diablo Blvd Ste 306, Lafayette, CA 94549-3600 | 2019-11-27 |
| 1295974210 | Gina Lynn Gibson | Clinical Neuropsychologist | 1602 W Pinhook Rd Ste 303, Lafayette, LA 70508-3735 | 2009-02-14 |
| 1396882445 | Elea Bernou | Clinical Neuropsychologist | 3744 Mt Diablo Blvd Ste 305, Lafayette, CA 94549-3602 | 2007-01-30 |
| 1316978935 | Larry James Benoit | Clinical Neuropsychologist | 119 Caillouett Pl, Lafayette, LA 70501-7807 | 2006-07-05 |
| 1831173384 | Janet A Lemmon | Clinical Neuropsychologist | 1120 W South Boulder Rd Ste 201d, Lafayette, CO 80026-8952 | 2005-11-29 |
| 1477023257 | Comprehensive Behavioral Health Center | Clinical Neuropsychologist | 1602 W Pinhook Rd Ste 303, Lafayette, LA 70508-3735 | 2018-12-05 |
| 1164621785 | Bianchini-strother, LLC | Clinical Neuropsychologist | 850 Kaliste Saloom Rd, Suite #103, Lafayette, LA 70508-4230 | 2007-07-13 |
| 1538383831 | Clare Ames-klein | Clinical Neuropsychologist | 895 Moraga Rd, Suite 10, Lafayette, CA 94549-5094 | 2007-04-11 |
| 1437272945 | Glenn A Ally | Clinical Neuropsychologist | 155 Hospital Dr, Suite 200, Lafayette, LA 70503-2852 | 2007-04-09 |
| 1952434524 | Lynn Wayne Aurich | Clinical Neuropsychologist | 125 Ridgeway Dr, Suite A-1, Lafayette, LA 70503-3404 | 2007-03-13 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.