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Individual
DR. MICHAEL ALAN GLAZER
Active
Individual
DR. MICHAEL ALAN GLAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY6437
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY6437
STATE LICENSE
CA
Enumeration date
03/09/2006
Last updated
02/19/2012
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