Individual
DR. BRIAN A. GLASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
130 WICKERSHAM DR, ATHENS, GA 30606-3182
(706) 254-5214
Mailing address
130 WICKERSHAM DR, ATHENS, GA 30606-3182
(706) 254-5214
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
GA1536
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00528657A
—
GA
Enumeration date
01/17/2007
Last updated
07/09/2007
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