Palecek, Glory Ann

Palecek, Glory Ann is an individual health care provider with primary practice located at 260 H Ave , Coronado CA 92118-1222. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Palecek, Glory Ann can be contacted via phone (619) 519-2554.

Contact Information

Primary practice address
260 H Ave Coronado CA 92118-1222
Phone: (619) 519-2554
Fax: (619) 437-0225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PSY7272 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY7272 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY7272 California

Profile Details

NPI number 1508193491
LBN Legal business name Palecek, Glory Ann
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2009
Last updated Oct 29th, 2012 - about 13 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 1508193491 NPPES
California Other 1508193491 TRICARE

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