Individual
KATHLEEN D GLAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, PSYD
Contact information
Practice address
1105 WATERVLIET AVE, DAYTON, OH 45420-2719
(937) 256-0500
(937) 256-2136
Mailing address
1105 WATERVLIET AVE, DAYTON, OH 45420-2719
(937) 256-0500
(937) 256-2136
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2543
OH
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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