EDWARD S GLASSIC


Address: 3314 Raymond St, Laureldale, PA 19605-2220
Phone: 6109292138

EDWARD S GLASSIC (NPI# 1063672939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063672939
Entity Type Individual
Full Name EDWARD S GLASSIC
Credential MA
Practice Address 3314 Raymond St
Laureldale
PA 19605-2220
Practice Telephone 6109292138
Mailing Telephone 6109292138
Enumeration Date 2008-06-13
Last Update Date 2009-06-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 3314 RAYMOND ST
City LAURELDALE
State PA
Zip Code 19605-2220

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City LAURELDALE
Zip Code 19605

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Dataset Information

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.

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