Organization
GLASSMAN & STANIK CONSULTING PSYCHOLOGISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN D. GLASSMAN PHD (DOCTOR)
(414) 444-9811
Entity
Organization
Contact information
Practice address
7635 W OKLAHOMA AVE, SUITE 201, MILWAUKEE, WI 53219-3600
(414) 444-9811
(414) 444-9822
Mailing address
7635 W OKLAHOMA AVE, SUITE 201, MILWAUKEE, WI 53219-3600
(414) 444-9811
(414) 444-9822
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1653
WI
103G00000X
Clinical Neuropsychologist
1998
WI
103T00000X
Psychologist
1653
WI
103T00000X
Psychologist
1998
WI
Other
Enumeration date
03/23/2007
Last updated
01/29/2010
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