Individual
DR. DINA SOUSANNE GLASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
325 N WELLS ST, CHICAGO, IL 60654-7024
(773) 412-0463
Mailing address
692 BARTONVILLE RD, LINCOLN, CA 95648-8833
(773) 412-0463
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008172
IL
Other
Enumeration date
02/10/2012
Last updated
09/09/2024
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