Doctor Name: | MRS. JULIE MICHELE GLANTZ |
NPI Number: | 1053435586 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS20286 |
Business Practice Address: | 1911 Williams Dr Oxnard, CA - 930362612 |
Business Phone Number: | 8059818829 |
Business Fax Number: | 8059814291 |
Mailing Address: | 2151 Brentwood St, SIMI VALLEY |
State: | CA |
Postal Code: | 930632608 |
Phone Number: | 8055797335 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 12/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS20286 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |