Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Delmar Glen Pack, PA

Individual provider Clinical Psychologist · NPI 1902968811

Delmar Glen Pack, PA is a Clinical Psychologist in Orange City, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

810 Briarwood Ct
Orange City, FL 32763
Phone: (386) 956-1689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY6914 (FL)

Record details

NPI number1902968811
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 15, 2006
Last updated in NPPESAugust 31, 2016

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