Individual
DR. MARY ELIZABETH GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, CRCC
Contact information
Practice address
6820 PORTO FINO CIRCLE, SUITE 1, FT MYERS, FL 33912-7133
(239) 225-1364
(239) 225-7337
Mailing address
6820 PORTO FINO CIRCLE, SUITE 1, FT MYERS, FL 33912-7133
(239) 225-1364
(239) 225-7337
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
MH2377
FL
2084P0800X
Psychiatry Physician
Primary
CRC00005090
IL
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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