Individual
DR. TASHA GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 W SCHOOL HOUSE LN, PHILADELPHIA, PA 19144-3846
(267) 975-0208
Mailing address
309 W SCHOOL HOUSE LN, PHILADELPHIA, PA 19144-3846
(267) 975-0208
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017307
PA
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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