Individual
DR. MARTHA LOUISE GLISKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1808 RICHARDS RD, SUITE 120, BELLEVUE, WA 98005-3982
(425) 677-7476
(425) 677-7476
Mailing address
1808 RICHARDS RD, SUITE 120, BELLEVUE, WA 98005-3982
(425) 677-7476
(425) 677-7476
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY00002466
WA
103TC0700X
Clinical Psychologist
PY00002466
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8382822
—
WA
Enumeration date
11/30/2006
Last updated
01/26/2017
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