Doctor Name: | MR. TODD GLASENAPP |
NPI Number: | 1538385075 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | CC-0773 |
Business Practice Address: | 500 S. Navajo Dr. Page, AZ - 86040 |
Business Phone Number: | 9286084201 |
Business Fax Number: | |
Mailing Address: | 500 S. Navajo Dr., PAGE |
State: | AZ |
Postal Code: | 86040 |
Phone Number: | 9286084201 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | CC-0773 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |