Individual
DR. REBECCA GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
243 LOCKART PL, PHILADELPHIA, PA 19116-2308
(973) 464-3869
Mailing address
243 LOCKART PL, PHILADELPHIA, PA 19116-2308
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS019887
PA
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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