Organization
GLASER FORNESIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY GOLTER (EXECUTIVE DIRECTOR)
(818) 382-9920
Entity
Organization
Contact information
Practice address
16530 VENTURA BLVD, 601, ENCINO, CA 91436-4554
(818) 382-9920
(818) 385-1155
Mailing address
16530 VENTURA BLVD, 601, ENCINO, CA 91436-4554
(818) 382-9920
(818) 385-1155
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
G40041
CA
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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