Individual
ELAINE SUE GLICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNCS
Contact information
Practice address
170 GOVERNORS AVE, LAWRENCE MEMORIAL HOSPITAL PSYCH, MEDFORD, MA 02155-1643
(781) 306-6150
(781) 306-6147
Mailing address
170 GOVERNORS AVE, LAWRENCE MEMORIAL HOSPITAL PSYCH, MEDFORD, MA 02155-1643
(781) 306-6150
(781) 306-6147
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
107028
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1200992
—
MA
Enumeration date
11/02/2005
Last updated
04/08/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us