Dematty, Glenda
Dematty, Glenda is an individual health care provider with primary practice located at 2727 Hollycroft St Ste 110 , Gig Harbor WA 98335. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Dematty, Glenda can be contacted via phone (253) 432-6126.Contact Information
Primary practice address
2727 Hollycroft St Ste 110
Gig Harbor WA 98335
Phone: (253) 432-6126
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MC60692217 | Washington |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LH61128052 | Washington |
Profile Details
| NPI number | 1336531060 |
|---|---|
| LBN Legal business name | Dematty, Glenda |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 4th, 2015 |
| Last updated | Dec 7th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336531060 | NPPES |
| Washington | Other | MC60692217 | LMHCA |
| Washington | Other | LH61128052 | LMHCA |
| Washington | Other | CG 60535559 | LMHCA |
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