Glaza, Heather L
Glaza, Heather L is an sole proprietor health care provider with primary practice located at 408 S Eagle Rd Ste 205 , Eagle ID 83616-6079. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Glaza, Heather L can be contacted via phone (208) 286-1000.Contact Information
Primary practice address
408 S Eagle Rd Ste 205
Eagle ID 83616-6079
Phone: (208) 286-1000
Fax: (208) 466-5705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LCPC-3962 | Idaho |
Profile Details
| NPI number | 1750438388 |
|---|---|
| LBN Legal business name | Glaza, Heather L |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Jun 22nd, 2023 - about last year |
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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