DR. GLENN E. KNOWLTON PHD
NPI 1063482297
Psychologist - Clinical in West Fargo, ND

Q: What is Glenn Knowlton's NPI number?

The NPI number for Glenn Knowlton is 1063482297. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Q: What is Glenn Knowlton's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Glenn Knowlton was last updated on January 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 23, 2006

1401 13TH AVE E, WEST FARGO, ND 58078(701) 364-0060(701) 364-0065 Get Directions Write a Review

NPPES record last updated: January 29, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Glenn E. Knowlton Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GLENN E. KNOWLTON PHD (NPI 1063482297) is an individual clinical provider in West Fargo, North Dakota, licensed in North Dakota (210) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1063482297

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. GLENN E. KNOWLTONCredential: PHD

Location Address1401 13TH AVE EWest Fargo, ND 58078-3468

Mailing Address1401 13th Ave EWest Fargo, ND 58078-3468 · (701) 364-0060 · Fax (701) 364-0065

Phone(701) 364-0060

Fax(701) 364-0065

Sole ProprietorNo

Enumeration DateJanuary 23, 2006

Last NPPES UpdateJanuary 29, 2008

✔ NPI 1063482297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in ND · 210

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1401 13TH AVE E, West Fargo, ND 58078

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Other Identifiers 9

Other61-77289Medica (ubh)

Medicare UPINR02272

Medicare PINN21784ND

Other475441026976Preferred One

Medicaid660352100MN

Medicaid16921ND

OtherHP22979Healthpartners

Other266S4KNMN · Blue Cross/shield-minneso

Other21784ND · Bluecross/shield -no Dak

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERI J BREKKE MPT

Physical Therapist