Provider Information for 1255847968
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Dr. BRIDGET KATHLEEN GLASS Ph.D., LMHC, ACS
Sex: Female
NPI: 1255847968
Last Updated: 2023-09-05
Certification Date: 2023-09-05
Certification Date: 2023-09-05
Details
| Name | Value | ||||||||||||
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| NPI | 1255847968 | ||||||||||||
| Enumeration Date | 2017-12-18 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 10130 NORTHLAKE BLVD STE 214 WEST PALM BEACH, FL 33412-1105 United States Phone: 772-204-4208 | Fax: | ||||||||||||
| Primary Practice Address | 8305 WOODSMUIR DR PALM BEACH GARDENS, FL 33412-1631 United States Phone: 561-316-8630 | Fax: | ||||||||||||
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