Leslie Carol Glass in Philadelphia - Clinical
Leslie Carol Glass - NPI 1679752240
Leslie Carol Glass is a Clinical in Philadelphia, Pennsylvania. Leslie Carol Glass practices all healthcare services and medical treatments related to Clinical. The NPI Number for Leslie Carol Glass is 1679752240. The last update date is 2007-10-30.
Leslie Carol Glass's current location address is 6625 Mccallum St Apt 3, Philadelphia, Pennsylvania. You can contact this provider via phone number 2679777316. The mailing address for Leslie Carol Glass is 6625 Mccallum St Apt 3, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie Carol Glass |
|---|---|
| Address | 6625 Mccallum St Apt 3, Philadelphia, Pennsylvania |
| Phone Number | 2679777316 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1679752240 |
|---|---|
| Provider Enumeration Date | 2007-10-30 |
| Last Updated Date | 2007-10-30 |
Provider Mailing Address Detail
| Address | 6625 Mccallum St Apt 3 |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191193100 |
| Phone Number | 2679777316 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CW015845 |
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What is the unique identification code assigned to Leslie Carol Glass by the Centers for Medicare & Medicaid Services?
The Leslie Carol Glass has been issued the NPI (National Provider Identifier) 1679752240. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Leslie Carol Glass's facilities are geographically located?
The facilities of Leslie Carol Glass are physically situated at the following location: 6625 Mccallum St Apt 3, Philadelphia, PA, 191193100.
What is Leslie Carol Glass's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Leslie Carol Glass is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1679752240 to Leslie Carol Glass?
The Leslie Carol Glass received its 1679752240 assignment from the Centers for Medicare & Medicaid Services on 2007-10-30.
As of what date were the details pertaining to Leslie Carol Glass last refreshed?
The information related to the Leslie Carol Glass, including its address, specialty, and other relevant details, was last updated on 2007-10-30.
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