Individual
DR. GLEN EDWARD HEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
171 MADISON AVE, SUITE 1400, NEW YORK, NY 10016-5110
(212) 243-2228
Mailing address
171 MADISON AVE, SUITE 1400, NEW YORK, NY 10016-5110
(212) 243-2228
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
068-014713
NY
Other
Enumeration date
12/13/2006
Last updated
09/27/2014
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