NPI 1255432696

Nathan David Glassman, PHD

Practitioner Psychologist West Allis, WI

Practice location

Address: 2448 S 102nd St Suite #270, West Allis, WI 53227-2466
Phone: (414) 444-9811
Fax: (414) 444-9822
Mailing address: 2323 N Lake Dr 1st Floor, Milwaukee, WI 53211-4508

Registered specialties (2)

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 1653 (WI)

Other Psychologist providers in Wisconsin →

Clinical Neuropsychologist

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 1653 (WI)

Other Clinical Neuropsychologist providers in Wisconsin →

Registry record

NPI: 1255432696
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Sep 2006
Record last updated: 1 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.