Individual
DR. GLENN R. TREZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1 S MARKET ST STE 4, BOSTON, MA 02109-6145
(617) 460-4262
Mailing address
1 S MARKET ST STE 4, BOSTON, MA 02109-6145
(617) 460-4262
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
011533
NY
103TC0700X
Clinical Psychologist
6647
MA
261QV0200X
VA Clinic/Center
011533
NY
261QV0200X
VA Clinic/Center
Primary
6647
MA
Other
Enumeration date
08/14/2006
Last updated
10/02/2020
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