Provider Demographics
NPI:1649642794
Name:GLASS, VERONICA ANNE (MSW)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:ANNE
Last Name:GLASS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:ANNE
Other - Last Name:GREIM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:1925 HAIG AVE
Mailing Address - Street 2:
Mailing Address - City:MORTON
Mailing Address - State:PA
Mailing Address - Zip Code:19070-1610
Mailing Address - Country:US
Mailing Address - Phone:610-764-3070
Mailing Address - Fax:
Practice Address - Street 1:2935 BYBERRY RD
Practice Address - Street 2:SUITE 108
Practice Address - City:HATBORO
Practice Address - State:PA
Practice Address - Zip Code:19040-2815
Practice Address - Country:US
Practice Address - Phone:610-425-0402
Practice Address - Fax:215-957-4511
Is Sole Proprietor?:No
Enumeration Date:2015-10-28
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker