Glidden, Pamela Rust

Glidden, Pamela Rust is an individual health care provider with primary practice located at 2 Water St Suite 2, Houlton ME 04730-2126. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Glidden, Pamela Rust can be contacted via phone (207) 532-5510.

Contact Information

Primary practice address
2 Water St Suite 2 Houlton ME 04730-2126
Fax: (207) 532-5518
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW 12121 Maine

Profile Details

NPI number 1033326871
LBN Legal business name Glidden, Pamela Rust
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Apr 21st, 2010 - about 16 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 1033326871 NPPES
Maine MEDICAID 417140099

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