Glaze, Stephanie

Glaze, Stephanie is an sole proprietor health care provider with primary practice located at 1125 W 6Th St , Los Angeles CA 90017-1833. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Forensic is her primary health care specialty. Glaze, Stephanie can be contacted via phone (213) 202-3970.

Contact Information

Primary practice address
1125 W 6Th St Los Angeles CA 90017-1833
Phone: (213) 202-3970
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Forensic 103TF0200X 32282 California

Profile Details

NPI number 1659610434
LBN Legal business name Glaze, Stephanie
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2013
Last updated Mar 16th, 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.

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