Glowicki, Sally Jane

Glowicki, Sally Jane is an sole proprietor health care provider with primary practice located at 214 Bush River Dr , Farmville VA 23901-3179. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Glowicki, Sally Jane can be contacted via phone (434) 392-7049.

Contact Information

Primary practice address
214 Bush River Dr Farmville VA 23901-3179
Fax: (434) 392-9221
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301013113 Michigan
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701006136 Virginia

Profile Details

NPI number 1346463965
LBN Legal business name Glowicki, Sally Jane
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
Last updated Sep 1st, 2015 - about 9 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 1346463965 NPPES
Virginia MEDICAID 004945450

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