Dematty, Glenda

Dematty, Glenda is an individual health care provider with primary practice located at 2727 Hollycroft St Ste 110 , Gig Harbor WA 98335. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Dematty, Glenda can be contacted via phone (253) 432-6126.

Contact Information

Primary practice address
2727 Hollycroft St Ste 110 Gig Harbor WA 98335
Phone: (253) 432-6126
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MC60692217 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH61128052 Washington

Profile Details

NPI number 1336531060
LBN Legal business name Dematty, Glenda
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2015
Last updated Dec 7th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336531060 NPPES
Washington Other MC60692217 LMHCA
Washington Other LH61128052 LMHCA
Washington Other CG 60535559 LMHCA

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