Mary Leonora Glenn is a Family in Cambridge, Massachusetts. Mary Leonora Glenn practices all healthcare services and medical treatments related to Family. The NPI Number for Mary Leonora Glenn is 1164558318. The last update date is 2007-07-08.
Mary Leonora Glenn's current location address is 256 Concord Ave, Cambridge, Massachusetts. You can contact this provider via phone number 6178644220. The mailing address for Mary Leonora Glenn is 256 Concord Ave, Cambridge, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary Leonora Glenn |
---|---|
Address | 256 Concord Ave, Cambridge, Massachusetts |
Phone Number | 6178644220 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1164558318 |
---|---|
Provider Enumeration Date | 2007-02-24 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 256 Concord Ave |
---|---|
City | Cambridge |
State | Massachusetts (MA) |
Post Code | 21381337 |
Phone Number | 6178644220 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family |
---|---|
Taxonomy | 103Tf0000X |
Licence No | 6462 |
Definition: A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
WO5206 | MA | BLUECROSSBLUESHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Leonora Glenn by the Centers for Medicare & Medicaid Services?
The Mary Leonora Glenn has been assigned the NPI (National Provider Identifier) 1164558318. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mary Leonora Glenn is physically located?
The Mary Leonora Glenn is physically situated at the following address: 256 Concord Ave, Cambridge, MA, 21381337.
What is Mary Leonora Glenn's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mary Leonora Glenn is Family, and the taxonomy code that categorizes this field of expertise is 103Tf0000X.
When was the Mary Leonora Glenn's 1164558318 issued?
The Mary Leonora Glenn's 1164558318 was issued on 2007-02-24.
When was the Mary Leonora Glenn's information last updated?
The Mary Leonora Glenn's information was last updated on 2007-07-08.