Individual
JULIA A. M. GLAZKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1945 PAULINE BLVD STE 14, ANN ARBOR, MI 48103-5047
(734) 661-2555
(734) 273-9003
Mailing address
1245 FAIR OAKS PKWY, ANN ARBOR, MI 48104-3628
(630) 663-1214
(734) 273-9003
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071-005351
IL
103TB0200X
Cognitive & Behavioral Psychologist
071-005351
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13520059
CAQH
—
05
—
1902023617
—
MI
Enumeration date
04/20/2007
Last updated
01/27/2024
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