| Doctor Name: | SUZANNE JANE GLIDEWELL |
| NPI Number: | 1003141458 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | 26687 |
| Business Practice Address: | 9343 Tech Center Dr Second Floor Sacramento, CA - 958262563 |
| Business Phone Number: | 9163886397 |
| Business Fax Number: | 9168759970 |
| Mailing Address: | 9343 Tech Center Dr, Second Floor SACRAMENTO |
| State: | CA |
| Postal Code: | 958262563 |
| Phone Number: | 9163886397 |
| Fax Number: | 9168759970 |
| NPI Enumeration Date: | 10/02/2009 |
| NPI Last Update Date: | 03/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 26687 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |