Glazer, Michael Alan
Glazer, Michael Alan is an sole proprietor health care provider with primary practice located at 1200 Paseo Camarillo Ste 245, Camarillo CA 93010-6085. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Glazer, Michael Alan can be contacted via phone (805) 482-7866.Contact Information
Primary practice address
1200 Paseo Camarillo Ste 245
Camarillo CA 93010-6085
Phone: (805) 482-7866
Fax: (805) 388-3039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY6437 | California |
Profile Details
| NPI number | 1316915093 |
|---|---|
| LBN Legal business name | Glazer, Michael Alan |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Feb 19th, 2012 - about 13 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 | 1316915093 | NPPES |
| California | Other | PSY6437 | STATE LICENSE |
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