Individual
ALLISON MERYL GLASSCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
625 E 11TH ST APT A3, NEW YORK, NY 10009-9751
(917) 420-0267
Mailing address
625 E 11TH ST APT A3, NEW YORK, NY 10009-9751
(917) 420-0267
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
019758
NY
103TC0700X
Clinical Psychologist
019758
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03808871
—
NY
Enumeration date
01/22/2014
Last updated
07/31/2024
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