Provider Demographics
NPI:1578146049
Name:WOMEN'S WELLNESS PSYCHIATRY
Entity Type:Organization
Organization Name:WOMEN'S WELLNESS PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GLEZER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-275-3939
Mailing Address - Street 1:1290 HOWARD AVE STE 325
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-4230
Mailing Address - Country:US
Mailing Address - Phone:650-275-3939
Mailing Address - Fax:888-378-4336
Practice Address - Street 1:1290 HOWARD AVE STE 325
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-4230
Practice Address - Country:US
Practice Address - Phone:650-275-3939
Practice Address - Fax:888-378-4336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-03
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty