Robert S. Glazer, Ph.d., P.a. | |
19802 Old Bellamy Rd Alachua FL 32615-3867 | |
(386) 462-5155 | |
(386) 462-1952 |
Full Name | Robert S. Glazer, Ph.d., P.a. |
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Speciality | Psychologist - Clinical |
Location | 19802 Old Bellamy Rd, Alachua, Florida |
Authorized Official Name and Position | Robert Glazer (OWNER) |
Authorized Official Contact | 3864625155 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Robert S. Glazer, Ph.d., P.a. 19802 Old Bellamy Rd Alachua FL 32615-3867 Ph: (386) 462-5155 | Robert S. Glazer, Ph.d., P.a. 19802 Old Bellamy Rd Alachua FL 32615-3867 Ph: (386) 462-5155 |
NPI Number | 1417224791 |
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Provider Enumeration Date | 11/30/2011 |
Last Update Date | 11/30/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417224791 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY 4152 (Florida) | Primary |
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