| NPI | 1255638904 |
|---|---|
| Former Name | DENISE M GLASSMOYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AZ 4169) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: AZ 4169) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: AZ 4169) | |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2022-07-21 |