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:
Health care specialties
Specialty | Code | License # | 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 5 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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