# DR. GLENN R. TREZZA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1639182256
- **Gender:** Man
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | 011533 | NY | — |
| 103TC0700X | Clinical Psychologist | 6647 | MA | — |
| 261QV0200X | VA Clinic/Center | 011533 | NY | — |
| 261QV0200X | VA Clinic/Center | 6647 | MA | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 10/02/2020