Glass, Robert Joseph
Glass, Robert Joseph is an sole proprietor health care provider with primary practice located at 4801 S Lakeshore Dr Ste 206 , Tempe AZ 85282-7157. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Glass, Robert Joseph can be contacted via phone (602) 809-5697.Contact Information
Primary practice address
4801 S Lakeshore Dr Ste 206
Tempe AZ 85282-7157
Phone: (602) 809-5697
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 0868 | Arizona |
Profile Details
NPI number | 1336297670 |
---|---|
LBN Legal business name | Glass, Robert Joseph |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 5th, 2007 |
Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336297670 | NPPES |
Arizona | MEDICAID | 589575 |
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