institution
Lydia S Glass Phd Psychological & Mediation Services Inc
Mental Health Counselor in Pasadena, California
NPI 1861635013

Lydia S Glass Phd Psychological & Mediation Services Inc is a Mental Health Counselor based in Pasadena, CA and is specialized in Mental Health. Lydia S Glass Phd Psychological & Mediation Services Inc practices in Pasadena, CA. The NPI Number for Lydia S Glass Phd Psychological & Mediation Services Inc is 1861635013 and holds a License No. PSY13464 (California).

The current practice location address for Lydia S Glass Phd Psychological & Mediation Services Inc is 200 E Del Mar Blvd Ste 210, Pasadena, CA and can be reached out via phone at 626-792-4153 and via fax at 626-930-0626.

Location: 200 E Del Mar Blvd Ste 210, Pasadena, CA, 91105-2551
institution
Provider Profile Details
NPI Number
1861635013
Provider Name
Lydia S Glass Phd Psychological & Mediation Services Inc
Credential
Provider Entity Type
Organization
Address
200 E Del Mar Blvd Ste 210, Pasadena, CA, 91105-2551
Phone Number
626-792-4153
Fax Number
626-930-0626
Provider Enumeration Date
04/16/2009
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
CP13464 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
200 E Del Mar Blvd Ste 210
City
State
Zip
91105-2551
Phone Number
626-792-4153
Fax Number
626-930-0626
person
Provider Business Mailing Address Details
Address
200 E Del Mar Blvd Ste 210
City
State
Zip
91105-2551
Phone Number
626-792-4153
Fax Number
626-930-0626
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PSY13464 (California)
Definition
Definition to come...
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