Individual
MS. GWENDOLYN B GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
3100 NC HIGHWAY 55, SUITE 102, CARY, NC 27519-8426
(919) 363-5000
(919) 363-5346
Mailing address
280 TOWERVIEW COURT, SECOND FLOOR, CARY, NC 27513
(919) 380-7171
(919) 380-9101
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1434K
BCBS OF NC
NC
05
—
7412577
—
NC
Enumeration date
08/30/2006
Last updated
11/18/2008
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