Individual
ELIZABETH ANNE GLAESER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
760 BROADWAY FL 5, BROOKLYN, NY 11206-5317
(718) 963-8835
Mailing address
760 BROADWAY FL 5, BROOKLYN, NY 11206-5317
(718) 963-8832
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
025359
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/09/2020
Last updated
05/03/2023
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