Provider Demographics
NPI:1164056628
Name:GLASGOW, KATHY JOAN (LPC)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:JOAN
Last Name:GLASGOW
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 N MAIN STREET EXT
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-1513
Mailing Address - Country:US
Mailing Address - Phone:724-234-1370
Mailing Address - Fax:
Practice Address - Street 1:127 ELIZABETH DR
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-2758
Practice Address - Country:US
Practice Address - Phone:724-822-3620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-24
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011844101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional