Doctor Name: | DR. SHERRI S GLASSMAN |
NPI Number: | 1730253022 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | #3696 |
Business Practice Address: | 209 Cooper Ave Suite 10 Upper Montclair, NJ - 070431883 |
Business Phone Number: | 2014524780 |
Business Fax Number: | |
Mailing Address: | 12 Potter Ct, UPPER MONTCLAIR |
State: | NJ |
Postal Code: | 070431514 |
Phone Number: | 9737442412 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | #3696 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |