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Individual

RUTH BONNIE GLASER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
3036 REGENT ST, BERKELEY, CA 94705-2551
(510) 333-2367
Mailing address
3036 REGENT ST, BERKELEY, CA 94705-2551
(510) 333-2367

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PSY 5242
CA
102L00000X
Psychoanalyst
PSY 5242
CA

Other

Enumeration date
02/25/2012
Last updated
02/25/2012
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