Glass, Mary Elizabeth
Glass, Mary Elizabeth is an individual health care provider with primary practice located at 6820 Porto Fino Circle Suite 1, Ft Myers FL 33912-7133. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Rehabilitation, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Glass, Mary Elizabeth can be contacted via phone (239) 225-1364.Contact Information
Primary practice address
6820 Porto Fino Circle Suite 1
Ft Myers FL 33912-7133
Phone: (239) 225-1364
Fax: (239) 225-7337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | ||
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | MH2377 | Florida |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | CRC00005090 | Illinois |
Profile Details
| NPI number | 1013265933 |
|---|---|
| LBN Legal business name | Glass, Mary Elizabeth |
| Credentials | LMHC, CRCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2012 |
| Last updated | Aug 27th, 2012 - about 14 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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