Frese, Glen A

Frese, Glen A is an sole proprietor health care provider with primary practice located at 656 N Miller St , Wenatchee WA 98801-2044. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Frese, Glen A can be contacted via phone (509) 663-3977.

Contact Information

Primary practice address
656 N Miller St Wenatchee WA 98801-2044
Fax: (509) 663-3109
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 990 Washington

Profile Details

NPI number 1972570257
LBN Legal business name Frese, Glen A
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2006
Last updated Dec 14th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972570257 NPPES
Washington Other 0024078 LABOR AND INDUSTRIES

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