Trezza, Glenn R.

Trezza, Glenn R. is an sole proprietor health care provider with primary practice located at 1 S Market St Ste 4 , Boston MA 02109-6145. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / VA. Ambulatory Health Care Facilities / VA is his primary health care specialty. Trezza, Glenn R. can be contacted via phone (617) 460-4262.

Contact Information

Primary practice address
1 S Market St Ste 4 Boston MA 02109-6145
Phone: (617) 460-4262
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6647 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 011533 New York
Ambulatory Health Care Facilities / VA 261QV0200X 011533 New York
Ambulatory Health Care Facilities / VA 261QV0200X 6647 Massachusetts

Profile Details

NPI number 1639182256
LBN Legal business name Trezza, Glenn R.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated Oct 2nd, 2020 - about 4 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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