Provider Demographics
NPI:1700923265
Name:GLAUSER, VALERIE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:
Last Name:GLAUSER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 W SEDGWICK ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-2517
Mailing Address - Country:US
Mailing Address - Phone:215-438-2180
Mailing Address - Fax:
Practice Address - Street 1:SOUTHAMPTON PSYCHIATRIC ASSOCIATES
Practice Address - Street 2:1111 STREET ROAD, SUITE 312
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-4250
Practice Address - Country:US
Practice Address - Phone:215-355-8347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000419106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist