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
Phone: (434) 392-7049
Fax: (434) 392-9221
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346463965 | NPPES |
Virginia | MEDICAID | 004945450 |
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