Individual
DR. ROBERT JOSEPH GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4801 S LAKESHORE DR STE 206, TEMPE, AZ 85282-7157
(602) 809-5697
Mailing address
14636 S 23RD ST, PHOENIX, AZ 85048-4321
(480) 472-0600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0868
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
589575
—
AZ
Enumeration date
01/05/2007
Last updated
07/09/2007
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