Individual
SAMANTHA GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD LP
Contact information
Practice address
280 SMITH AVE N STE 450, SAINT PAUL, MN 55102-2481
(651) 241-5959
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
LP5378
MN
Other
Enumeration date
05/20/2011
Last updated
01/15/2025
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