Individual
DR. GLENNA M GIESICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1505 WATER ST NE, SUITE 5, SALEM, OR 97303-6967
(503) 363-2430
(503) 363-2195
Mailing address
1505 WATER ST NE, SUITE 5, SALEM, OR 97303-6967
(503) 363-2430
(503) 363-2195
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1036
OR
103TC1900X
Counseling Psychologist
Primary
1036
OR
Other
Enumeration date
04/19/2007
Last updated
09/11/2025
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