Provider Demographics
NPI:1841616638
Name:GLINDMEYER, KAREN MELISSA (M ED)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:MELISSA
Last Name:GLINDMEYER
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:K.
Other - Middle Name:MELISSA
Other - Last Name:GLINDMEYER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:M ED
Mailing Address - Street 1:9860 WEST RD
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:OH
Mailing Address - Zip Code:45030-1929
Mailing Address - Country:US
Mailing Address - Phone:513-728-8445
Mailing Address - Fax:513-367-7251
Practice Address - Street 1:9860 WEST RD
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:OH
Practice Address - Zip Code:45030-1929
Practice Address - Country:US
Practice Address - Phone:513-728-8445
Practice Address - Fax:513-367-7251
Is Sole Proprietor?:No
Enumeration Date:2014-03-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCI1018145174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist