Individual
LEAH MARIE GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2600 CENTER ST NE, SALEM, OR 97301-2669
(503) 945-9276
Mailing address
2600 CENTER ST NE, SALEM, OR 97301-2669
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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