Provider Demographics
NPI:1538499074
Name:GLASSMAN, CLAUDIA (MSED, LMFT, RPT)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:GLASSMAN
Suffix:
Gender:F
Credentials:MSED, LMFT, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 RUSTIC RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:GA
Mailing Address - Zip Code:30319
Mailing Address - Country:US
Mailing Address - Phone:954-593-2907
Mailing Address - Fax:
Practice Address - Street 1:1280 RUSTIC RIDGE DR
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:GA
Practice Address - Zip Code:30319
Practice Address - Country:US
Practice Address - Phone:954-593-2907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-06
Last Update Date:2018-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2242106H00000X
GAMFT001086106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist