Provider Demographics
NPI:1811392756
Name:GLANDER, AMY (LGPC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:GLANDER
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8945 LONGBROOK DR
Mailing Address - Street 2:
Mailing Address - City:MACEDONIA
Mailing Address - State:OH
Mailing Address - Zip Code:44056-1665
Mailing Address - Country:US
Mailing Address - Phone:216-276-5628
Mailing Address - Fax:
Practice Address - Street 1:8945 LONGBROOK DR
Practice Address - Street 2:
Practice Address - City:MACEDONIA
Practice Address - State:OH
Practice Address - Zip Code:44056-1665
Practice Address - Country:US
Practice Address - Phone:216-276-5628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-04
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health