Provider Demographics
NPI:1720205842
Name:GLATSTEIN, ALLISON ANDERSEN (MFT)
Entity Type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:ANDERSEN
Last Name:GLATSTEIN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:NOELLE
Other - Last Name:ANDERSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT INTERN
Mailing Address - Street 1:41 E FOOTHILL BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-2307
Mailing Address - Country:US
Mailing Address - Phone:626-737-1074
Mailing Address - Fax:626-737-1074
Practice Address - Street 1:41 E FOOTHILL BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-2307
Practice Address - Country:US
Practice Address - Phone:626-737-1074
Practice Address - Fax:626-737-1074
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2010-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF48083106H00000X
CAMFT 45664106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist