Provider Demographics
NPI:1639996168
Name:GLAESER, OLIVIA (CGC)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:GLAESER
Suffix:
Gender:F
Credentials:CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 OLATHE # 5C
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-8505
Mailing Address - Country:US
Mailing Address - Phone:913-945-6892
Mailing Address - Fax:913-588-0119
Practice Address - Street 1:2000 OLATHE # 5C
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8505
Practice Address - Country:US
Practice Address - Phone:913-945-6892
Practice Address - Fax:913-588-0119
Is Sole Proprietor?:No
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS