Glaze, Stephanie
Glaze, Stephanie is an sole proprietor health care provider with primary practice located at 1125 W 6Th St , Los Angeles CA 90017-1833. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Forensic is her primary health care specialty. Glaze, Stephanie can be contacted via phone (213) 202-3970.Contact Information
Primary practice address
1125 W 6Th St
Los Angeles CA 90017-1833
Phone: (213) 202-3970
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor | 225C00000X | ||
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 32282 | California |
Profile Details
| NPI number | 1659610434 |
|---|---|
| LBN Legal business name | Glaze, Stephanie |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2013 |
| Last updated | Mar 16th, 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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