Provider Demographics
NPI:1578889150
Name:GLASSMAN, BARB JOANN
Entity Type:Individual
Prefix:
First Name:BARB
Middle Name:JOANN
Last Name:GLASSMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 3RD AVE NW
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98371-9413
Mailing Address - Country:US
Mailing Address - Phone:253-307-5790
Mailing Address - Fax:
Practice Address - Street 1:1301 3RD AVE NW
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371-9413
Practice Address - Country:US
Practice Address - Phone:253-307-5790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator