Glisky, Martha Louise
Glisky, Martha Louise is an sole proprietor health care provider with primary practice located at 1808 Richards Rd Suite 120, Bellevue WA 98005-3982. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Glisky, Martha Louise can be contacted via phone (425) 677-7476.Contact Information
Primary practice address
1808 Richards Rd Suite 120
Bellevue WA 98005-3982
Phone: (425) 677-7476
Fax: (425) 677-7476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PY00002466 | Washington |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY00002466 | Washington |
Profile Details
| NPI number | 1992872139 |
|---|---|
| LBN Legal business name | Glisky, Martha Louise |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Jan 26th, 2017 - about 7 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 | 1992872139 | NPPES |
| Washington | MEDICAID | 8382822 |
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