Individual
DR. GLEN A FRESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
656 N MILLER ST, WENATCHEE, WA 98801-2044
(509) 663-3977
(509) 663-3109
Mailing address
656 N MILLER ST, WENATCHEE, WA 98801-2044
(509) 663-3977
(509) 663-3109
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
990
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024078
LABOR AND INDUSTRIES
WA
Enumeration date
03/04/2006
Last updated
12/14/2011
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