Individual
DR. ANDREA R GLADSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
24444
CA
103TC0700X
Clinical Psychologist
Primary
PSY 0003933
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025391
KAISER COMMERCIAL NUMBER
CO
05
—
26352737
—
CO
Enumeration date
01/23/2012
Last updated
06/10/2021
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