NPI 1992670913 · live from the CMS NPI Registry
Steffen Glenn Gillom, PhD, LMFT
Marriage & Family Therapist in Pawtucket, RI. National Provider Identifier 1992670913, active.
NPI record
| NPI | 1992670913 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 750 East Ave Unit 27, Pawtucket, RI 02860 |
| Practice phone | 401-310-3856 |
| Enumerated | October 8, 2025 |
| Last updated | August 31, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | MFT00316 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.