Individual
MR. MICHAEL JASON GLADSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.S.
Contact information
Practice address
1780 MAPLE ST STE 1, NORTHFIELD, IL 60093-3021
(847) 644-8005
Mailing address
1780 MAPLE ST STE 1, NORTHFIELD, IL 60093-3021
(847) 644-8005
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2243184-73
IL
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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