| Doctor Name: | MRS. LISA C GLOSSZA |
| NPI Number: | 1013197342 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | PSW914 |
| Business Practice Address: | 2479 Aloma Ave Winter Park, FL - 327922541 |
| Business Phone Number: | 9178057934 |
| Business Fax Number: | |
| Mailing Address: | 3282 Candia Dr, VIERA |
| State: | FL |
| Postal Code: | 329408059 |
| Phone Number: | 9178057934 |
| Fax Number: | |
| NPI Enumeration Date: | 11/03/2007 |
| NPI Last Update Date: | 04/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | PSW914 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |