Provider Demographics
NPI:1891053856
Name:GLASGOW, ZACHARY (BA, BHRS)
Entity Type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:
Last Name:GLASGOW
Suffix:
Gender:M
Credentials:BA, BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6418 N SANTA FE AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-9112
Mailing Address - Country:US
Mailing Address - Phone:405-664-8351
Mailing Address - Fax:
Practice Address - Street 1:6418 N SANTA FE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-9112
Practice Address - Country:US
Practice Address - Phone:405-664-8351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor