Organization
DR. GLASS LENOX PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL EDWIN GLASS III MD, MHA (PSYCHIATRIST)
(413) 551-7609
Entity
Organization
Contact information
Practice address
69 CHURCH STREET, SUITE 6, LENOX, MA 01240
(413) 551-7609
(413) 570-7242
Mailing address
69 CHURCH ST STE 6, LENOX, MA 01240-2771
(413) 551-7609
(413) 570-7242
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261352
MA
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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