Individual
GEORGIANA GLASOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
636 CAMPBELL AVE, WEST HAVEN, CT 06516-4408
(203) 934-2057
(203) 934-6659
Mailing address
2 HIGHLAND RD, OXFORD, CT 06478-1695
(203) 615-2181
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001387
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001387
SPEECH THERAPIST
CT
Enumeration date
01/22/2007
Last updated
07/08/2007
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