Individual
SAMANTHA DIANE GLIDEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 ALBERT SABIN WAY, CINCINNATI, OH 45229-2838
(513) 558-5821
Mailing address
5171 RED CLOUD CT APT 3, OXFORD, OH 45056-9539
(469) 215-4596
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
OH
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/17/2018
Last updated
07/02/2024
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