Provider Demographics
NPI:1639577935
Name:GLASPER, RHONDA
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:GLASPER
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 1:300 E 54TH AVE
Mailing Address - Street 2:300 E 54 AVE
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-1609
Mailing Address - Country:US
Mailing Address - Phone:219-802-0591
Mailing Address - Fax:
Practice Address - Street 1:300 E 54TH AVE
Practice Address - Street 2:300 E 54 AVE
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-1609
Practice Address - Country:US
Practice Address - Phone:219-802-0591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-18
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor