Individual
THOMAS A GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY037
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04997201
—
HI
01
—
56960
NMSA
—
Enumeration date
10/18/2005
Last updated
08/05/2011
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