| Glassman Neuropsychology Associates Llc | |
|
2448 S 102nd St Suite 270 West Allis WI 53227-2466 | |
| (414) 444-9811 | |
| (414) 444-9822 |
| Full Name | Glassman Neuropsychology Associates Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2448 S 102nd St, West Allis, Wisconsin |
| Authorized Official Name and Position | Nathan D Glassman (OWNER) |
| Authorized Official Contact | 4144449811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glassman Neuropsychology Associates Llc 2448 S 102nd St Suite 270 West Allis WI 53227-2466 Ph: (414) 444-9811 | Glassman Neuropsychology Associates Llc 2448 S 102nd St Suite 270 West Allis WI 53227-2466 Ph: (414) 444-9811 |
| NPI Number | 1275930919 |
|---|---|
| Provider Enumeration Date | 11/24/2014 |
| Last Update Date | 11/24/2014 |
| Medicare PECOS PAC ID | 4880910173 |
|---|---|
| Medicare Enrollment ID | O20150304000765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275930919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 1653-57 (Wisconsin) | Primary |
| Provider Name | Nathan D Glassman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255432696 PECOS PAC ID: 6709810047 Enrollment ID: I20120411000852 |
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