Provider Demographics
NPI:1184631962
Name:GLAZER, HILDA RUTH (EDD)
Entity Type:Individual
Prefix:DR
First Name:HILDA
Middle Name:RUTH
Last Name:GLAZER
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2180 BRYDEN RD
Mailing Address - Street 2:
Mailing Address - City:BEXLEY
Mailing Address - State:OH
Mailing Address - Zip Code:43209-1670
Mailing Address - Country:US
Mailing Address - Phone:614-231-0315
Mailing Address - Fax:
Practice Address - Street 1:3140 E BROAD ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43209-2066
Practice Address - Country:US
Practice Address - Phone:613-231-9495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-0003554101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional