DR. Charles D. Glass, PH.D.

NPI #1265425565 in Breckenridge, Colorado

Provider Information

NPI Number: 1265425565
Entity Type: Individual
Name: DR. Charles D. Glass, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Aug 23, 2005
Last Updated: Sep 16, 2008

Practice Location

Address: 424 SOUTH RIDGE STREET
City: Breckenridge
State: Colorado
ZIP Code: 80424-3850
Phone: (970) 453-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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